| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $10,011.00 | |
Medica
| Facility | $1,013.99 | $2,155.00 | $26,542.00 | |
United
| Facility | $1,708.00 | $3,318.00 | $6,854.00 |