| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.50 | $4,261.00 | $12,174.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $535.50 | $878.88 | $8,957.00 | |
United
| Facility | $2,426.00 | $4,432.00 | $12,989.00 |