| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $1,778.28 | $5,623.41 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Medica
| Facility | $107.15 | $316.23 | $1,819.70 | |
United
| Facility | $537.03 | $1,047.13 | $2,187.76 |