| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.00 | $5,560.00 | $17,797.00 | |
Anthem BCBS
| Facility | $2,266.00 | $5,965.00 | $15,754.00 | |
Medica
| Facility | $1,498.27 | $2,967.99 | $11,933.00 | |
United
| Facility | $1,858.00 | $4,000.00 | $11,564.00 |