| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,258.26 | $5,389.00 | $10,096.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,587.00 | $11,956.89 | |
Medica
| Facility | $55.00 | $2,538.00 | $11,043.00 | |
United
| Facility | $1,182.00 | $3,233.00 | $11,343.00 |