| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,703.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $1,763.75 | $7,173.28 | $10,860.55 | |
Medica
| Facility | $1,178.29 | $1,526.58 | $9,712.00 | |
Medica
| Facility | AS | $302.54 | $302.54 | $1,887.52 |
United
| Facility | $5,279.00 | $7,499.00 | $11,396.00 |