| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $2,344.23 | $5,623.41 | |
BCBS
| Facility | $1,659.59 | $5,370.32 | $7,943.28 | |
Medica
| Facility | $467.74 | $707.95 | $2,041.74 | |
Medica
| Facility | AS | $123.03 | $123.03 | $229.09 |
United
| Facility | $691.83 | $1,412.54 | $2,187.76 |