| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.00 | $4,261.00 | $8,000.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $670.88 | $1,106.49 | $19,913.50 | |
United
| Facility | $2,738.00 | $4,566.00 | $23,874.12 |