| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,570.40 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $6,918.31 | $13,803.84 | |
Medica
| Facility | $199.53 | $346.74 | $5,011.87 | |
Medica
| Facility | 62 | $338.84 | $645.65 | $645.65 |
Medica
| Facility | AS | $54.95 | $104.71 | $104.71 |
United
| Facility | $338.84 | $707.95 | $9,549.93 |