| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $3,779.00 | $12,600.00 | |
BCBS
| Facility | $13,405.80 | $21,144.87 | $33,649.15 | |
Medica
| Facility | $498.00 | $1,595.89 | $6,155.68 | |
Medica
| Facility | AS | $441.81 | $441.81 | $441.81 |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |