| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $2,089.30 | $6,606.93 | |
BCBS
| Facility | $3,715.35 | $5,754.40 | $9,332.54 | |
Medica
| Facility | $46.77 | $87.10 | $2,511.89 | |
Medica
| Facility | AS | $19.95 | $19.95 | $19.95 |
United
| Facility | $138.04 | $630.96 | $1,659.59 |