| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,235.94 | $7,413.10 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $794.33 | $2,290.87 | $16,218.10 | |
United
| Facility | $1,819.70 | $2,818.38 | $5,248.07 |