| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $536.75 | $607.38 | $685.06 | |
Anthem BCBS
| Professional | $60.59 | $715.74 | $1,391.07 | |
Medica
| Facility | $600.30 | $634.99 | $1,583.77 | |
Medica
| Professional | $296.63 | $423.75 | $3,517.13 | |
United
| Professional | $296.63 | $423.75 | $915.30 |