| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $2,300.00 | $5,506.00 | |
BCBS
| Facility | $830.40 | $3,321.60 | $5,432.89 | |
Medica
| Facility | $454.47 | $645.66 | $1,977.00 | |
Medica
| Facility | 62 | $722.54 | $722.54 | $1,377.59 |
Medica
| Facility | AS | $115.61 | $115.61 | $220.41 |
United
| Facility | $716.00 | $1,535.00 | $2,326.00 |