| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.00 | $3,232.00 | $8,000.00 | |
Aetna
| Professional | $1,184.00 | $2,507.00 | $5,560.00 | |
Anthem BCBS
| Professional | $329.75 | $380.10 | $464.50 | |
Medica
| Facility | $247.00 | $815.00 | $1,351.00 | |
United
| Facility | $245.00 | $760.00 | $1,300.00 |