| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.88 | $3,351.00 | $8,000.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $10,011.00 | |
Medica
| Facility | $793.05 | $1,748.00 | $16,394.00 | |
United
| Facility | $1,350.00 | $3,347.00 | $6,854.00 |