| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,612.00 | $7,500.00 | |
Aetna
| Professional | $2,444.00 | $3,684.00 | $6,245.00 | |
BCBS
| Facility | $3,878.46 | $6,117.46 | $9,735.10 | |
Medica
| Facility | $100.00 | $634.00 | $1,883.00 | |
United
| Facility | $139.00 | $774.00 | $1,615.00 |