| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.00 | $2,300.00 | $5,506.00 | |
BCBS
| Facility | $327.68 | $1,233.59 | $2,017.71 | |
Medica
| Facility | $204.14 | $283.41 | $7,289.00 | |
Medica
| Facility | 62 | $342.53 | $342.53 | $650.92 |
Medica
| Facility | AS | $54.80 | $54.80 | $104.15 |
United
| Facility | $1,203.00 | $1,960.00 | $7,499.00 |