| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.42 | $2,359.00 | $6,060.00 | |
BCBS
| Facility | $882.30 | $3,300.84 | $5,432.89 | |
Medica
| Facility | $301.20 | $418.72 | $1,960.00 | |
Medica
| Facility | AS | $75.92 | $75.92 | $145.93 |
United
| Facility | $716.00 | $1,535.00 | $2,326.00 |