| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $5,538.00 | $18,600.00 | |
BCBS
| Facility | $7,721.40 | $12,180.59 | $19,381.03 | |
Medica
| Facility | $1,300.32 | $1,959.73 | $8,753.15 | |
Medica
| Facility | AS | $2,569.69 | $2,569.69 | $2,569.69 |
United
| Facility | $1,481.00 | $5,407.00 | $9,232.95 |