| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $4,168.69 | $8,511.38 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Medica
| Facility | $295.12 | $549.54 | $3,981.07 | |
United
| Facility | $1,819.70 | $2,630.27 | $4,677.35 |