| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.00 | $4,349.00 | $8,000.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,279.00 | $8,563.00 | |
Medica
| Facility | $922.12 | $1,502.73 | $19,067.25 | |
Medica
| Facility | AS | $257.26 | $257.26 | $1,887.52 |
United
| Facility | $1,858.00 | $3,864.00 | $6,980.00 |