| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $918.00 | $4,046.00 | $7,786.00 | |
BCBS
| Facility | $2,015.59 | $2,733.26 | $3,959.20 | |
Medica
| Facility | $152.10 | $446.28 | $2,490.86 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |