| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $823.15 | $2,782.00 | $7,365.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $10,043.00 | |
Medica
| Facility | $139.74 | $734.66 | $1,475.22 | |
United
| Facility | $245.00 | $747.00 | $1,300.00 |