| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $995.50 | $2,300.00 | $5,506.00 | |
BCBS
| Facility | $655.35 | $2,467.19 | $4,035.41 | |
Medica
| Facility | $302.80 | $405.88 | $7,247.00 | |
Medica
| Facility | AS | $76.37 | $76.37 | $146.69 |
United
| Facility | $1,078.00 | $2,057.00 | $8,995.00 |