| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,819.00 | $6,329.00 | |
BCBS
| Facility | $294.10 | $1,107.20 | $1,810.96 | |
Medica
| Facility | $75.67 | $106.37 | $1,448.00 | |
Medica
| Facility | AS | $15.19 | $15.19 | $38.45 |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |