| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,818.38 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $7,079.46 | $13,803.84 | |
Medica
| Facility | $288.40 | $489.78 | $5,128.61 | |
Medica
| Facility | AS | $75.86 | $147.91 | $147.91 |
United
| Facility | $338.84 | $707.95 | $9,549.93 |