| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $3,630.78 | $7,762.47 | |
BCBS
| Facility | $630.96 | $2,041.74 | $3,019.95 | |
Medica
| Facility | $954.99 | $1,348.96 | $7,943.28 | |
Medica
| Facility | AS | $257.04 | $257.04 | $1,905.46 |
United
| Facility | $4,466.84 | $6,025.60 | $8,709.64 |