| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $1,507.95 | $2,341.98 | $6,493.64 | |
Medica
| Facility | $3,960.00 | $4,417.88 | $11,100.38 | |
Medica
| Professional | $1,055.57 | $1,507.95 | $24,651.00 | |
United
| Professional | $1,055.57 | $1,507.95 | $3,960.00 |