| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $444.95 | $2,507.00 | $7,365.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $344.65 | $592.95 | $8,660.15 | |
Medica
| Facility | AS | $97.18 | $97.18 | $849.00 |
United
| Facility | $1,644.00 | $2,874.00 | $5,813.00 |