| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $1,148.15 | $1,148.15 | |
BCBS
| Facility | $104.71 | $338.84 | $501.19 | |
Medica
| Facility | $43.65 | $223.87 | $2,041.74 | |
United
| Facility | $676.08 | $1,230.27 | $2,187.76 |