| 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 | $985.70 | $1,542.26 | $9,437.00 | |
Medica
| Facility | AS | $230.98 | $230.98 | $1,314.53 |
United
| Facility | $5,255.00 | $7,205.00 | $11,396.00 |