| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $4,897.79 | $14,125.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,897.79 | $14,125.38 | |
Medica
| Facility | $575.44 | $1,047.13 | $11,481.54 | |
United
| Facility | $2,454.71 | $3,235.94 | $6,165.95 |