| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $2,633.00 | $7,960.15 | |
BCBS
| Facility | $587.35 | $2,465.48 | $3,784.20 | |
Medica
| Facility | $616.37 | $830.85 | $6,063.00 | |
Medica
| Facility | AS | $165.43 | $165.43 | $2,462.39 |
United
| Facility | $2,892.00 | $4,545.00 | $7,217.00 |