| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,648.50 | $3,929.00 | $7,562.14 | |
BCBS
| Facility | $830.45 | $3,228.01 | $5,113.62 | |
Medica
| Facility | $718.57 | $955.66 | $7,167.00 | |
Medica
| Facility | AS | $192.66 | $192.66 | $1,887.52 |
United
| Facility | $4,637.00 | $6,477.00 | $9,010.00 |