| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,139.00 | $3,158.00 | $8,000.00 | |
Aetna
| Professional | $167.63 | $255.31 | $330.86 | |
Anthem BCBS
| Professional | $109.95 | $210.19 | $357.20 | |
Medica
| Facility | $167.63 | $382.97 | $1,264.00 | |
Medica
| Professional | $285.11 | $395.00 | $2,041.28 | |
United
| Facility | $245.00 | $760.00 | $1,300.00 | |
United
| Professional | $284.30 | $361.52 | $580.46 |