| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $3,158.00 | $8,000.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,587.00 | $11,956.89 | |
Medica
| Facility | $55.00 | $691.14 | $6,890.00 | |
Medica
| Facility | 62 | $473.13 | $889.38 | $889.38 |
Medica
| Facility | AS | $75.70 | $142.30 | $142.30 |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |