| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,380.38 | $1,380.38 | $1,380.38 | |
Anthem BCBS
| Professional | $1,513.56 | $1,548.82 | $6,606.93 | |
Medica
| Facility | $4,168.69 | $4,466.84 | $11,220.18 | |
Medica
| Professional | $1,047.13 | $2,089.30 | $24,547.09 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
United
| Professional | $1,047.13 | $1,513.56 | $4,466.84 |