| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $881.06 | $4,775.81 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $681.75 | $1,116.27 | $8,957.00 | |
Medica
| Facility | AS | $188.63 | $188.63 | $849.00 |
United
| Facility | $1,748.00 | $3,502.00 | $6,854.00 |