| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,819.00 | $6,535.00 | |
BCBS
| Facility | $882.30 | $3,321.60 | $5,432.89 | |
Medica
| Facility | $164.62 | $227.46 | $3,314.00 | |
Medica
| Facility | AS | $42.42 | $42.42 | $79.33 |
United
| Facility | $1,372.00 | $2,336.00 | $6,416.00 |