| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,286.00 | $9,663.00 | |
Medica
| Facility | $426.27 | $711.05 | $8,957.00 | |
United
| Facility | $1,748.00 | $3,502.00 | $6,854.00 |