| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,100.00 | $4,474.00 | $8,239.00 | |
BCBS
| Facility | $830.45 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $709.15 | $940.05 | $6,063.00 | |
Medica
| Facility | AS | $188.63 | $188.63 | $849.00 |
United
| Facility | $2,892.00 | $4,545.00 | $7,217.00 |