| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $2,438.00 | $7,500.00 | |
BCBS
| Facility | $9,444.76 | $15,004.39 | $23,706.76 | |
Medica
| Facility | $575.00 | $940.92 | $4,126.00 | |
Medica
| Facility | 62 | $1,131.72 | $2,142.04 | $2,142.04 |
Medica
| Facility | AS | $181.08 | $342.73 | $342.73 |
United
| Facility | $139.00 | $610.00 | $1,883.00 |