| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.00 | $4,716.00 | $9,823.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,279.00 | $8,563.00 | |
Medica
| Facility | $824.50 | $1,351.46 | $21,310.46 | |
United
| Facility | $2,156.00 | $4,000.00 | $10,781.00 |