| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $658.82 | $3,678.00 | $9,168.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $559.71 | $952.80 | $4,754.80 | |
United
| Facility | $1,216.00 | $2,306.00 | $3,071.00 |