| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,785.00 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,613.46 | $4,140.09 | |
Medica
| Facility | $630.33 | $870.71 | $6,039.00 | |
Medica
| Facility | AS | $171.81 | $171.81 | $849.00 |
United
| Facility | $2,892.00 | $4,545.00 | $7,217.00 |