| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $605.48 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,058.00 | $3,832.00 | $8,993.61 | |
Medica
| Facility | $415.16 | $871.86 | $5,936.00 | |
Medica
| Facility | AS | $115.81 | $227.53 | $227.53 |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |