| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $3,388.44 | $7,943.28 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $398.11 | $831.76 | $3,981.07 | |
Medica
| Facility | AS | $141.25 | $380.19 | $380.19 |
United
| Facility | $1,230.27 | $2,398.83 | $4,677.35 |