| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.90 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,114.00 | $5,383.00 | $12,063.00 | |
Medica
| Facility | $272.23 | $466.99 | $7,904.00 | |
Medica
| Facility | AS | $69.92 | $69.92 | $133.22 |
United
| Facility | $1,185.00 | $7,904.00 | $11,489.00 |