| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,144.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $20,450.00 | |
Medica
| Facility | $979.21 | $1,791.58 | $5,687.00 | |
Medica
| Facility | AS | $336.38 | $336.38 | $628.54 |
United
| Facility | $2,578.00 | $5,241.00 | $19,082.00 |