| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,995.26 | $13,489.63 | |
BCBS
| Facility | $12,589.25 | $19,498.45 | $32,359.37 | |
Medica
| Facility | $346.74 | $1,659.59 | $8,709.64 | |
Medica
| Facility | AS | $501.19 | $501.19 | $501.19 |
United
| Facility | $346.74 | $1,949.84 | $6,165.95 |