| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,897.79 | $8,709.64 | |
Anthem BCBS
| Facility | $2,238.72 | $5,888.44 | $12,022.64 | |
Medica
| Facility | $54.95 | $2,089.30 | $12,882.50 | |
United
| Facility | $2,884.03 | $3,981.07 | $10,000.00 |