| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $5,493.00 | $13,151.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $615.54 | $1,032.66 | $19,913.50 | |
United
| Facility | $1,858.00 | $4,000.00 | $38,731.00 |