| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,588.50 | $3,819.00 | $7,467.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $665.73 | $908.69 | $3,787.00 | |
Medica
| Facility | AS | $176.07 | $176.07 | $646.16 |
United
| Facility | $2,343.00 | $3,339.00 | $5,838.00 |