| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,098.00 | $3,214.00 | $8,000.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,279.00 | $8,563.00 | |
Medica
| Facility | $548.26 | $955.69 | $16,394.00 | |
United
| Facility | $1,438.00 | $2,874.00 | $5,813.00 |