| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.00 | $4,908.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $9,663.00 | |
Medica
| Facility | $904.34 | $1,645.54 | $6,980.00 | |
United
| Facility | $1,858.00 | $4,000.00 | $10,781.00 |