| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $2,511.89 | $6,309.57 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Medica
| Facility | $251.19 | $478.63 | $9,772.37 | |
United
| Facility | $1,819.70 | $2,630.27 | $4,677.35 |