| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.90 | $1,806.00 | $7,365.00 | |
Aetna
| Facility | 50 | $282.50 | $586.00 | $1,207.00 |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,958.00 | |
Medica
| Facility | $55.00 | $301.12 | $971.85 | |
United
| Facility | $245.00 | $875.00 | $1,351.00 |