| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $599.75 | $2,279.48 | $6,329.00 | |
BCBS
| Facility | $587.35 | $2,283.06 | $3,616.69 | |
Medica
| Facility | $224.77 | $398.08 | $12,833.00 | |
United
| Facility | $3,560.00 | $16,460.00 | $25,758.00 |