| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.45 | $2,598.00 | $8,000.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,958.00 | |
Medica
| Facility | $40.61 | $88.69 | $2,019.00 | |
Medica
| Facility | AS | $20.13 | $20.13 | $20.13 |
United
| Facility | $245.00 | $815.00 | $1,300.00 |