| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,582.00 | $2,933.00 | $6,483.00 | |
BCBS
| Facility | $117.52 | $442.43 | $723.65 | |
Medica
| Facility | $57.43 | $193.63 | $1,203.00 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |