| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,885.00 | $3,885.00 | $4,823.00 | |
BCBS
| Facility | $2,247.00 | $2,247.00 | $2,247.00 | |
Medica
| Facility | $500.00 | $1,229.55 | $1,807.00 | |
United
| Facility | $500.00 | $951.00 | $1,775.00 |