| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,100.00 | $4,598.00 | $11,109.00 | |
BCBS
| Facility | $472.60 | $1,779.20 | $2,910.10 | |
Medica
| Facility | $236.64 | $331.30 | $1,919.00 | |
Medica
| Facility | AS | $62.90 | $113.08 | $113.08 |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |