| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.25 | $2,536.00 | $7,500.00 | |
BCBS
| Facility | $9,444.76 | $15,084.81 | $23,838.74 | |
Medica
| Facility | $413.92 | $626.96 | $7,964.20 | |
Medica
| Facility | 62 | $590.07 | $1,126.85 | $1,126.85 |
Medica
| Facility | AS | $94.41 | $180.30 | $180.30 |
United
| Facility | $1,481.00 | $5,910.00 | $10,708.00 |