| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $4,474.00 | $14,672.40 | |
BCBS
| Facility | $902.63 | $3,320.00 | $5,430.28 | |
Medica
| Facility | $131.81 | $234.87 | $4,349.00 | |
Medica
| Facility | AS | $30.81 | $30.81 | $57.68 |
United
| Facility | $1,424.00 | $3,269.00 | $6,416.00 |