| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.00 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $403.46 | $683.38 | $4,754.80 | |
United
| Facility | $1,216.00 | $2,306.00 | $3,071.00 |