| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,279.00 | $8,563.00 | |
Medica
| Facility | $1,090.72 | $1,782.17 | $26,542.00 | |
United
| Facility | $2,695.00 | $5,252.00 | $19,082.00 |