| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.48 | $1,710.00 | $4,649.00 | |
BCBS
| Facility | $888.80 | $3,840.73 | $5,889.41 | |
Medica
| Facility | $371.65 | $529.78 | $7,140.00 | |
Medica
| Facility | 62 | $590.07 | $590.07 | $1,126.85 |
Medica
| Facility | AS | $94.41 | $94.41 | $180.30 |
United
| Facility | $4,637.00 | $6,477.00 | $13,500.00 |