| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $882.30 | $3,321.60 | $5,432.89 | |
Medica
| Facility | $314.20 | $440.99 | $1,960.00 | |
Medica
| Facility | AS | $79.78 | $79.78 | $152.44 |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |