| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $4,897.79 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $54.95 | $3,467.37 | $11,481.54 | |
United
| Facility | $1,380.38 | $2,818.38 | $10,471.29 |