| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,698.24 | $5,754.40 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $295.12 | $616.60 | $1,621.81 | |
United
| Facility | $851.14 | $1,230.27 | $2,238.72 |