| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $8,239.00 | |
BCBS
| Facility | $1,805.25 | $6,640.00 | $10,860.55 | |
Medica
| Facility | $807.54 | $1,438.89 | $4,466.00 | |
Medica
| Facility | AS | $189.07 | $189.07 | $353.33 |
United
| Facility | $1,424.00 | $3,269.00 | $6,416.00 |