| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $438.60 | $1,651.20 | $2,700.74 | |
Medica
| Facility | $435.33 | $850.25 | $9,437.00 | |
Medica
| Facility | AS | $205.58 | $205.58 | $205.58 |
United
| Facility | $5,255.00 | $9,338.00 | $20,293.00 |