| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,404.67 | $5,389.00 | $12,174.00 | |
Anthem BCBS
| Facility | $2,232.00 | $5,208.00 | $11,904.00 | |
Medica
| Facility | $55.00 | $2,052.33 | $11,043.00 | |
Medica
| Facility | AS | $267.16 | $501.38 | $501.38 |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |