| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,504.92 | $1,504.92 | $1,504.92 | |
Anthem BCBS
| Facility | $2,232.00 | $5,720.00 | $24,141.00 | |
Medica
| Facility | $1,058.97 | $1,860.04 | $7,318.30 | |
Medica
| Facility | AS | $318.07 | $318.07 | $576.61 |