| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,440.00 | $13,151.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $19,155.41 | |
Medica
| Facility | $1,348.91 | $2,233.69 | $5,187.00 | |
United
| Facility | $2,426.00 | $4,432.00 | $12,989.00 |