| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $4,931.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,232.00 | $4,517.00 | $20,057.00 | |
Medica
| Facility | $1,133.39 | $1,913.00 | $26,542.00 | |
United
| Facility | $2,426.00 | $4,463.00 | $12,989.00 |