| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,507.00 | $4,588.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $14,717.03 | |
Medica
| Facility | $1,120.00 | $3,996.30 | $10,136.51 | |
Medica
| Facility | 62 | $5,004.00 | $9,516.21 | $9,516.21 |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |