| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $5,144.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,517.00 | $14,433.00 | |
Medica
| Facility | $578.78 | $943.80 | $8,957.00 | |
United
| Facility | $2,516.00 | $4,000.00 | $10,781.00 |