| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $916.00 | $3,683.00 | $8,400.00 | |
BCBS
| Facility | $1,122.79 | $1,783.71 | $2,818.24 | |
Medica
| Facility | $58.68 | $202.07 | $1,172.00 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 |