| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $727.57 | $5,389.00 | $12,152.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $441.19 | $723.65 | $8,660.15 | |
United
| Facility | $1,644.00 | $2,874.00 | $5,813.00 |