| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,265.80 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $794.33 | $1,445.44 | $16,218.10 | |
United
| Facility | $2,454.71 | $3,715.35 | $6,165.95 |