| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,384.00 | $7,960.15 | |
BCBS
| Facility | $1,763.75 | $6,889.00 | $10,860.55 | |
Medica
| Facility | $732.12 | $1,091.46 | $15,169.00 | |
Medica
| Facility | AS | $203.97 | $203.97 | $8,159.30 |
United
| Facility | $3,560.00 | $10,316.00 | $16,841.00 |