| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $175.83 | $715.12 | $1,096.56 | |
Medica
| Facility | $104.82 | $232.80 | $1,438.00 | |
United
| Facility | $1,086.00 | $1,958.00 | $3,268.00 |