| 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 | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $741.31 | $1,348.96 | $6,165.95 | |
Medica
| Facility | AS | $245.47 | $446.68 | $446.68 |
United
| Facility | $2,884.03 | $4,265.80 | $10,232.93 |