| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $3,890.45 | $6,760.83 | |
BCBS
| Facility | $2,754.23 | $4,265.80 | $7,079.46 | |
Medica
| Facility | $251.19 | $398.11 | $3,981.07 | |
Medica
| Facility | 52 | $3,715.35 | $3,715.35 | $3,715.35 |
United
| Facility | $575.44 | $1,995.26 | $3,981.07 |