| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,144.00 | $9,823.00 | |
Anthem BCBS
| Facility | $2,232.00 | $4,517.00 | $20,057.00 | |
Medica
| Facility | $637.44 | $1,076.07 | $26,542.00 | |
United
| Facility | $2,902.00 | $6,120.00 | $11,870.00 |