| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,023.00 | $7,089.08 | |
Aetna
| Facility | 52 | $138.75 | $138.75 | $742.31 |
BCBS
| Facility | $2,659.22 | $4,194.93 | $6,674.72 | |
Medica
| Facility | $272.76 | $1,484.61 | $5,543.93 | |
Medica
| Facility | 52 | $869.54 | $869.54 | $869.54 |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |