| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $4,931.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $963.15 | $1,570.22 | $6,817.20 | |
United
| Facility | $1,216.00 | $2,306.00 | $3,071.00 |