| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,612.45 | $1,612.45 | $1,612.45 | |
Anthem BCBS
| Professional | $1,316.82 | $1,549.20 | $3,627.58 | |
Medica
| Facility | $4,348.00 | $4,850.74 | $12,187.99 | |
Medica
| Professional | $796.74 | $1,138.20 | $27,066.30 | |
United
| Professional | $796.74 | $1,138.20 | $3,509.45 |