| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $890.05 | $2,598.00 | $7,365.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,517.00 | $12,297.00 | |
Medica
| Facility | $158.66 | $755.00 | $1,598.19 | |
United
| Facility | $245.00 | $747.00 | $1,300.00 |