| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $2,818.38 | $5,623.41 | |
BCBS
| Facility | $309.03 | $1,000.00 | $1,479.11 | |
Medica
| Facility | $199.53 | $309.03 | $7,585.78 | |
Medica
| Facility | 62 | $338.84 | $338.84 | $645.65 |
Medica
| Facility | AS | $54.95 | $54.95 | $104.71 |
United
| Facility | $707.95 | $2,089.30 | $8,912.51 |