| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $1,341.54 | $4,934.39 | $8,070.83 | |
Medica
| Facility | $1,025.42 | $1,586.99 | $10,106.46 | |
Medica
| Facility | AS | $239.97 | $239.97 | $1,314.53 |
United
| Facility | $5,315.00 | $7,341.00 | $11,396.00 |