| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $2,818.38 | $5,754.40 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Medica
| Facility | $114.82 | $302.00 | $15,135.61 | |
United
| Facility | $295.12 | $707.95 | $1,412.54 |