| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.68 | $4,470.00 | $13,151.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,517.00 | $21,396.74 | |
Medica
| Facility | $55.00 | $308.14 | $7,500.00 | |
Medica
| Facility | AS | $30.81 | $57.68 | $57.68 |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |