| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,260.00 | $4,597.00 | $8,447.00 | |
BCBS
| Facility | $1,763.75 | $6,640.00 | $10,860.55 | |
Medica
| Facility | $1,141.30 | $1,539.68 | $7,920.00 | |
Medica
| Facility | AS | $296.52 | $544.37 | $544.37 |
United
| Facility | $4,613.00 | $6,477.00 | $9,010.00 |