| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $767.50 | $4,610.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,279.00 | $8,563.00 | |
Medica
| Facility | $404.67 | $666.34 | $8,957.00 | |
United
| Facility | $1,748.00 | $3,502.00 | $6,854.00 |