| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,852.00 | $4,474.00 | $8,104.00 | |
BCBS
| Facility | $830.40 | $3,100.51 | $5,432.89 | |
Medica
| Facility | $144.09 | $192.10 | $1,770.00 | |
Medica
| Facility | AS | $37.81 | $70.70 | $70.70 |
United
| Facility | $175.00 | $2,572.00 | $14,572.00 |