| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.33 | $2,304.00 | $6,305.00 | |
BCBS
| Facility | $882.30 | $3,321.60 | $5,432.89 | |
Medica
| Facility | $249.92 | $341.42 | $4,172.00 | |
Medica
| Facility | AS | $63.29 | $63.29 | $120.96 |
United
| Facility | $1,519.00 | $3,269.00 | $5,491.00 |