| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $2,114.00 | $5,506.00 | |
BCBS
| Facility | $438.60 | $1,640.88 | $2,700.74 | |
Medica
| Facility | $390.47 | $624.16 | $3,790.00 | |
United
| Facility | $2,343.00 | $3,339.00 | $5,838.00 |