| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,026.88 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,449.00 | $10,043.00 | |
Medica
| Facility | $775.44 | $1,477.21 | $7,500.00 | |
Medica
| Facility | AS | $215.17 | $381.03 | $381.03 |
United
| Facility | $1,185.00 | $3,233.00 | $11,489.00 |