| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.53 | $2,276.00 | $5,506.00 | |
BCBS
| Facility | $616.79 | $2,467.19 | $4,035.41 | |
Medica
| Facility | $231.63 | $319.85 | $7,289.00 | |
Medica
| Facility | 62 | $385.46 | $385.46 | $735.14 |
Medica
| Facility | AS | $61.67 | $61.67 | $117.62 |
United
| Facility | $1,203.00 | $1,960.00 | $7,499.00 |