| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,168.69 | $7,762.47 | |
BCBS
| Facility | $630.96 | $2,041.74 | $3,019.95 | |
Medica
| Facility | $512.86 | $812.83 | $4,168.69 | |
Medica
| Facility | AS | $138.04 | $138.04 | $645.65 |
United
| Facility | $2,238.72 | $3,162.28 | $5,370.32 |