| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,163.80 | $3,367.00 | $7,996.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $10,043.00 | |
Medica
| Facility | $710.58 | $1,191.81 | $19,067.25 | |
Medica
| Facility | AS | $196.41 | $196.41 | $2,455.55 |
United
| Facility | $2,426.00 | $4,432.00 | $12,989.00 |