| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,500.00 | $12,154.00 | |
BCBS
| Facility | $578.00 | $1,279.35 | $4,250.08 | |
Medica
| Facility | $55.00 | $316.89 | $1,087.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |