| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,785.00 | $7,467.00 | |
BCBS
| Facility | $587.35 | $2,279.10 | $3,616.69 | |
Medica
| Facility | $699.33 | $960.41 | $3,911.00 | |
Medica
| Facility | AS | $184.92 | $184.92 | $646.16 |
United
| Facility | $2,343.00 | $3,339.00 | $5,838.00 |