| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $2,570.40 | $7,413.10 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $54.95 | $104.71 | $870.96 | |
Medica
| Facility | AS | $16.98 | $31.62 | $31.62 |
United
| Facility | $338.84 | $707.95 | $1,778.28 |