| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.00 | $4,858.00 | $9,823.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $631.23 | $1,125.58 | $8,660.15 | |
United
| Facility | $1,742.00 | $2,566.31 | $5,200.00 |