| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $882.30 | $3,321.60 | $5,432.89 | |
Medica
| Facility | $339.07 | $466.03 | $1,636.46 | |
Medica
| Facility | AS | $86.91 | $86.91 | $163.65 |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |