| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $239.88 | $331.13 | |
BCBS
| Facility | $630.96 | $1,122.02 | $2,884.03 | |
Medica
| Facility | $977.24 | $1,047.13 | $1,318.26 | |
United
| Facility | $1,000.00 | $1,023.29 | $1,412.54 |