| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.00 | $2,598.00 | $7,365.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $681.82 | $1,155.55 | $4,000.00 | |
United
| Facility | $1,858.00 | $4,000.00 | $10,781.00 |