| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $4,610.00 | $8,000.00 | |
Aetna
| Professional | $1,944.00 | $3,307.00 | $5,560.00 | |
Anthem BCBS
| Professional | $127.97 | $154.47 | $192.24 | |
Medica
| Facility | $1,748.00 | $3,700.00 | $6,944.00 | |
United
| Facility | $1,708.00 | $3,502.00 | $6,944.00 |