| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $527.09 | $5,150.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $406.87 | $704.65 | $3,006.00 | |
United
| Facility | $1,742.00 | $2,299.34 | $5,200.00 |