| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $8,511.38 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Medica
| Facility | $54.95 | $3,630.78 | $12,882.50 | |
United
| Facility | $2,884.03 | $4,265.80 | $11,220.18 |