| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.00 | $3,158.00 | $8,485.00 | |
Anthem BCBS
| Facility | $2,114.00 | $6,000.00 | $13,384.00 | |
Medica
| Facility | $204.89 | $354.00 | $3,064.00 | |
Medica
| Facility | AS | $57.75 | $57.75 | $109.91 |
United
| Facility | $245.00 | $1,218.00 | $9,475.00 |