| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,590.33 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $10,123.00 | |
Medica
| Facility | $55.00 | $2,120.00 | $5,740.00 | |
United
| Facility | $2,120.00 | $3,318.00 | $5,698.00 |