| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,389.00 | $9,823.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $14,717.03 | |
Medica
| Facility | $1,294.57 | $2,209.00 | $5,717.00 | |
United
| Facility | $2,209.00 | $4,432.00 | $12,989.00 |