| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $2,444.00 | $7,500.00 | |
Aetna
| Facility | 52 | $37.93 | $37.93 | $67.90 |
BCBS
| Facility | $2,659.22 | $4,194.93 | $6,674.72 | |
Medica
| Facility | $74.56 | $140.13 | $1,676.40 | |
Medica
| Facility | 52 | $237.37 | $237.37 | $237.37 |
United
| Facility | $155.00 | $727.00 | $1,615.00 |