| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $3,890.45 | $7,762.47 | |
BCBS
| Facility | $316.23 | $1,023.29 | $1,513.56 | |
Medica
| Facility | $128.82 | $190.55 | $1,995.26 | |
Medica
| Facility | AS | $32.36 | $32.36 | $60.26 |
United
| Facility | $691.83 | $1,230.27 | $2,187.76 |