| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,786.30 | $8,317.64 | |
BCBS
| Facility | $776.25 | $2,511.89 | $3,801.89 | |
Medica
| Facility | $912.01 | $1,479.11 | $6,165.95 | |
Medica
| Facility | AS | $194.98 | $194.98 | $489.78 |
United
| Facility | $3,388.44 | $4,365.16 | $7,585.78 |