| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
BCBS
| Facility | $7,873.50 | $12,508.22 | $19,762.84 | |
Medica
| Facility | $279.56 | $402.91 | $2,000.00 | |
Medica
| Facility | AS | $66.90 | $128.52 | $128.52 |
United
| Facility | $139.00 | $634.00 | $1,883.00 |