| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.75 | $3,158.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,114.00 | $5,617.00 | $12,691.00 | |
Medica
| Facility | $225.24 | $383.49 | $5,000.00 | |
Medica
| Facility | 62 | $385.46 | $385.46 | $735.14 |
Medica
| Facility | AS | $61.67 | $61.67 | $117.62 |
United
| Facility | $245.00 | $1,218.00 | $9,475.00 |