| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $5,888.44 | $9,772.37 | |
BCBS
| Facility | $446.68 | $1,445.44 | $2,137.96 | |
Medica
| Facility | $239.88 | $380.19 | $2,041.74 | |
Medica
| Facility | AS | $63.10 | $112.20 | $112.20 |
United
| Facility | $660.69 | $1,230.27 | $2,187.76 |