| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $14,717.03 | |
Medica
| Facility | $835.42 | $1,417.89 | $4,490.00 | |
Medica
| Facility | AS | $260.31 | $260.31 | $470.35 |
United
| Facility | $2,156.00 | $4,000.00 | $10,781.00 |