| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $7,963.00 | |
BCBS
| Facility | $1,310.70 | $4,934.39 | $8,070.83 | |
Medica
| Facility | $1,152.29 | $1,484.64 | $9,712.00 | |
Medica
| Facility | AS | $294.54 | $294.54 | $1,887.52 |
United
| Facility | $5,279.00 | $7,499.00 | $11,396.00 |