| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $5,429.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $17,951.00 | |
Medica
| Facility | $55.00 | $1,514.64 | $6,757.00 | |
United
| Facility | $2,578.00 | $5,252.00 | $19,082.00 |