| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,201.63 | $3,684.00 | $18,600.00 | |
BCBS
| Facility | $7,343.69 | $11,583.14 | $18,432.97 | |
Medica
| Facility | $1,105.71 | $2,744.00 | $13,541.98 | |
Medica
| Facility | AS | $1,314.53 | $1,314.53 | $1,314.53 |
United
| Facility | $1,851.00 | $7,307.00 | $13,541.98 |