| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.00 | $3,131.00 | $8,000.00 | |
Anthem BCBS
| Facility | $1,386.42 | $3,832.00 | $9,569.00 | |
Medica
| Facility | $301.17 | $538.38 | $1,061.51 | |
Medica
| Facility | AS | $86.91 | $86.91 | $163.65 |
United
| Facility | $245.00 | $815.00 | $1,351.00 |