| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,054.48 | $5,691.00 | $13,095.00 | |
Anthem BCBS
| Facility | $2,232.00 | $7,058.00 | $20,450.00 | |
Medica
| Facility | $2,054.48 | $3,464.50 | $9,485.00 | |
United
| Facility | $2,578.00 | $6,058.00 | $19,082.00 |