| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $438.60 | $1,651.20 | $2,700.74 | |
Medica
| Facility | $226.04 | $317.22 | $1,944.00 | |
Medica
| Facility | AS | $57.75 | $57.75 | $109.91 |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |