| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,897.79 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $10,000.00 | |
Medica
| Facility | $54.95 | $2,041.74 | $10,964.78 | |
Medica
| Facility | AS | $257.04 | $489.78 | $489.78 |
United
| Facility | $1,288.25 | $2,818.38 | $10,471.29 |