| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.79 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $9,663.00 | |
Medica
| Facility | $55.00 | $344.41 | $1,218.00 | |
United
| Facility | $245.00 | $747.00 | $1,300.00 |