| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,913.27 | $4,908.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,087.00 | $4,286.00 | $20,108.73 | |
Medica
| Facility | $958.00 | $2,902.78 | $7,903.00 | |
Medica
| Facility | AS | $543.59 | $1,054.68 | $1,054.68 |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |