| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $2,788.00 | $6,483.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $396.73 | $522.46 | $3,801.00 | |
United
| Facility | $2,149.00 | $3,533.00 | $5,546.00 |