| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,139.00 | $3,232.00 | $12,174.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,286.00 | $10,043.00 | |
Medica
| Facility | $55.00 | $572.60 | $1,352.54 | |
Medica
| Facility | AS | $88.33 | $165.31 | $165.31 |
United
| Facility | $245.00 | $760.00 | $6,150.00 |