| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.05 | $4,387.00 | $6,576.54 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $187.49 | $381.15 | $11,618.76 | |
United
| Facility | $1,644.00 | $2,833.00 | $5,620.00 |