| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.00 | $5,691.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $387.14 | $3,397.76 | $11,971.21 | |
United
| Facility | $2,695.00 | $5,252.00 | $19,082.00 |