| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $3,819.00 | $7,467.00 | |
BCBS
| Facility | $601.16 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $1,002.65 | $1,544.28 | $4,435.00 | |
Medica
| Facility | AS | $234.28 | $234.28 | $441.81 |
United
| Facility | $1,424.00 | $3,269.00 | $6,416.00 |