| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,265.80 | $8,511.38 | |
Anthem BCBS
| Facility | $2,137.96 | $4,677.35 | $8,317.64 | |
Medica
| Facility | $616.60 | $1,096.48 | $9,772.37 | |
United
| Facility | $2,137.96 | $3,019.95 | $5,370.32 |