| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.00 | $4,261.00 | $7,996.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,286.00 | $9,663.00 | |
Medica
| Facility | $692.83 | $1,177.60 | $19,913.50 | |
United
| Facility | $2,156.00 | $4,000.00 | $10,781.00 |