| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $3,630.78 | $21,379.62 | |
BCBS
| Facility | $575.44 | $4,073.80 | $4,265.80 | |
Medica
| Facility | $54.95 | $316.23 | $1,445.44 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |