| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,560.00 | $13,177.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $688.40 | $1,128.43 | $5,833.00 | |
Medica
| Facility | AS | $203.97 | $203.97 | $8,159.30 |
United
| Facility | $2,578.00 | $5,241.00 | $19,082.00 |