| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $3,090.30 | $6,309.57 | |
BCBS
| Facility | $416.87 | $1,348.96 | $1,995.26 | |
Medica
| Facility | $436.52 | $870.96 | $13,489.63 | |
Medica
| Facility | AS | $204.17 | $204.17 | $204.17 |
United
| Facility | $5,495.41 | $8,511.38 | $20,892.96 |