| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,389.00 | $10,096.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,319.00 | $9,663.00 | |
Medica
| Facility | $55.00 | $418.03 | $6,335.00 | |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |