| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $5,073.26 | $10,043.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $261.98 | $523.15 | $11,618.76 | |
United
| Facility | $1,438.00 | $2,874.00 | $5,813.00 |