| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
BCBS
| Facility | $9,444.76 | $15,004.39 | $23,706.76 | |
Medica
| Facility | $283.36 | $451.14 | $3,910.00 | |
Medica
| Facility | AS | $76.37 | $146.69 | $146.69 |
United
| Facility | $139.00 | $634.00 | $2,526.73 |