| 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 | $274.52 | $355.62 | $4,044.00 | |
Medica
| Facility | AS | $69.92 | $69.92 | $133.22 |
United
| Facility | $1,519.00 | $3,269.00 | $5,491.00 |