| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,801.32 | $5,560.00 | $11,039.00 | |
Anthem BCBS
| Facility | $2,114.00 | $5,617.00 | $12,691.00 | |
Medica
| Facility | $1,381.16 | $2,298.15 | $19,913.50 | |
Medica
| Facility | AS | $363.74 | $363.74 | $1,887.52 |
United
| Facility | $2,426.00 | $5,717.00 | $12,989.00 |