| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $4,387.00 | $10,439.00 | |
BCBS
| Facility | $466.00 | $655.49 | $1,449.50 | |
Medica
| Facility | $55.00 | $951.56 | $3,595.00 | |
United
| Facility | $1,365.00 | $2,902.00 | $5,562.00 |