| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $4,897.79 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $10,000.00 | |
Medica
| Facility | $54.95 | $2,290.87 | $11,220.18 | |
Medica
| Facility | AS | $295.12 | $549.54 | $549.54 |
United
| Facility | $1,288.25 | $2,818.38 | $10,471.29 |