| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,208.45 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $10,043.00 | |
Medica
| Facility | $55.00 | $1,886.36 | $10,106.46 | |
Medica
| Facility | AS | $239.97 | $1,314.53 | $1,314.53 |
United
| Facility | $2,426.00 | $4,390.00 | $12,989.00 |