| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $2,359.00 | $5,506.00 | |
BCBS
| Facility | $882.30 | $3,321.60 | $5,432.89 | |
Medica
| Facility | $314.48 | $441.36 | $1,868.00 | |
Medica
| Facility | AS | $79.81 | $79.81 | $152.59 |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |