| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,750.00 | $3,641.50 | $11,902.00 | |
BCBS
| Facility | $672.35 | $2,734.49 | $4,193.09 | |
Medica
| Facility | $525.66 | $714.11 | $6,063.00 | |
Medica
| Facility | AS | $140.25 | $140.25 | $849.00 |
United
| Facility | $2,892.00 | $4,545.00 | $7,217.00 |