| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $4,897.79 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $10,000.00 | |
Medica
| Facility | $54.95 | $954.99 | $3,715.35 | |
Medica
| Facility | AS | $218.78 | $407.38 | $407.38 |
United
| Facility | $338.84 | $707.95 | $1,778.28 |