| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $4,470.00 | $12,154.00 | |
Aetna
| Professional | $39.04 | $60.75 | $78.73 | |
Anthem BCBS
| Professional | $76.39 | $89.88 | $162.37 | |
Medica
| Facility | $39.89 | $91.13 | $8,004.00 | |
Medica
| Professional | $31.52 | $87.62 | $829.18 | |
United
| Facility | $1,858.00 | $4,000.00 | $10,781.00 | |
United
| Professional | $31.25 | $76.75 | $128.51 |