| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,758.00 | $7,467.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $527.14 | $725.20 | $3,787.00 | |
Medica
| Facility | AS | $142.76 | $142.76 | $380.79 |
United
| Facility | $2,132.00 | $3,365.00 | $5,307.00 |