| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,162.19 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $10,043.00 | |
Medica
| Facility | $55.00 | $1,814.16 | $11,870.00 | |
Medica
| Facility | AS | $230.98 | $1,314.53 | $1,314.53 |
United
| Facility | $2,426.00 | $4,463.00 | $15,000.00 |