| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $4,610.00 | $9,823.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $1,460.50 | $2,541.01 | $26,542.00 | |
United
| Facility | $2,156.00 | $4,000.00 | $11,564.00 |