| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $932.30 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $1,593.00 | $3,897.00 | $9,663.00 | |
Medica
| Facility | $55.00 | $1,094.25 | $7,500.00 | |
United
| Facility | $1,189.00 | $2,849.00 | $11,043.00 |