| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.06 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,114.00 | $5,383.00 | $12,063.00 | |
Medica
| Facility | $162.35 | $292.20 | $7,904.00 | |
Medica
| Facility | AS | $42.42 | $42.42 | $79.33 |
United
| Facility | $1,182.00 | $5,013.00 | $11,186.00 |