| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,819.00 | $7,960.15 | |
BCBS
| Facility | $1,763.75 | $6,598.50 | $10,860.55 | |
Medica
| Facility | $2,132.00 | $3,458.71 | $6,162.79 | |
Medica
| Facility | 62 | $5,004.00 | $9,516.21 | $9,516.21 |
United
| Facility | $1,424.00 | $3,269.00 | $14,572.00 |