| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $3,684.00 | $9,989.79 | |
BCBS
| Facility | $13,405.80 | $21,144.87 | $33,649.15 | |
Medica
| Facility | $222.61 | $591.80 | $11,188.81 | |
United
| Facility | $139.00 | $1,541.00 | $11,649.00 |