| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $2,630.27 | $6,606.93 | |
BCBS
| Facility | $8,709.64 | $13,489.63 | $22,387.21 | |
Medica
| Facility | $489.78 | $1,819.70 | $6,165.95 | |
Medica
| Facility | AS | $691.83 | $691.83 | $691.83 |
United
| Facility | $346.74 | $1,949.84 | $6,165.95 |