| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,070.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $204.94 | $771.55 | $1,261.97 | |
Medica
| Facility | $68.58 | $106.30 | $1,891.00 | |
United
| Facility | $1,086.00 | $1,958.00 | $3,268.00 |