| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $3,630.78 | $7,943.28 | |
BCBS
| Facility | $1,230.27 | $1,230.27 | $1,230.27 | |
Medica
| Facility | $338.84 | $691.83 | $6,456.54 | |
United
| Facility | $1,513.56 | $2,089.30 | $4,677.35 |