| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $2,398.83 | $5,623.41 | |
BCBS
| Facility | $275.42 | $891.25 | $1,348.96 | |
Medica
| Facility | $41.69 | $69.18 | $1,905.46 | |
Medica
| Facility | AS | $19.95 | $19.95 | $19.95 |
United
| Facility | $691.83 | $1,230.27 | $2,187.76 |