| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.25 | $2,148.00 | $5,506.00 | |
BCBS
| Facility | $206.40 | $820.44 | $1,350.37 | |
Medica
| Facility | $68.68 | $131.33 | $1,423.00 | |
Medica
| Facility | 52 | $237.37 | $237.37 | $237.37 |
United
| Facility | $683.00 | $1,424.00 | $2,114.00 |