| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $4,470.00 | $12,154.00 | |
Aetna
| Professional | $202.86 | $308.95 | $400.39 | |
Anthem BCBS
| Professional | $262.56 | $308.89 | $533.01 | |
Medica
| Facility | $202.86 | $400.39 | $797.47 | |
Medica
| Professional | $324.52 | $472.05 | $2,326.96 | |
United
| Professional | $310.94 | $416.88 | $669.30 |