| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,677.35 | $8,511.38 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Medica
| Facility | $758.58 | $1,318.26 | $9,772.37 | |
Medica
| Facility | AS | $208.93 | $851.14 | $851.14 |
United
| Facility | $2,137.96 | $3,019.95 | $5,370.32 |