| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $1,805.25 | $6,640.00 | $10,860.55 | |
Medica
| Facility | $854.11 | $1,424.00 | $4,466.00 | |
Medica
| Facility | AS | $201.41 | $201.41 | $373.61 |
United
| Facility | $1,424.00 | $3,269.00 | $6,416.00 |