| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $5,623.41 | $9,120.11 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $229.09 | $575.44 | $26,302.68 | |
Medica
| Facility | AS | $63.10 | $112.20 | $112.20 |
United
| Facility | $338.84 | $707.95 | $1,412.54 |