| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.06 | $3,158.00 | $8,000.00 | |
Anthem BCBS
| Facility | $8,654.00 | $12,271.00 | $12,297.00 | |
Medica
| Facility | $55.00 | $319.94 | $1,261.00 | |
United
| Facility | $245.00 | $760.00 | $1,300.00 |