| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.00 | $1,937.71 | $5,506.00 | |
BCBS
| Facility | $219.30 | $820.44 | $1,350.37 | |
Medica
| Facility | $98.75 | $977.15 | $1,944.00 | |
Medica
| Facility | 52 | $341.53 | $341.53 | $341.53 |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |