| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $3,819.00 | $7,467.00 | |
BCBS
| Facility | $688.17 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $607.76 | $956.87 | $9,978.00 | |
Medica
| Facility | AS | $142.41 | $142.41 | $1,314.53 |
United
| Facility | $5,315.00 | $7,341.00 | $11,396.00 |