| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,382.00 | $6,864.00 | |
BCBS
| Facility | $672.35 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $959.20 | $1,270.06 | $7,167.00 | |
Medica
| Facility | AS | $257.26 | $257.26 | $1,887.52 |
United
| Facility | $4,358.00 | $6,506.00 | $9,010.00 |