| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $4,261.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,050.00 | $9,663.00 | |
Medica
| Facility | $2,149.34 | $3,195.88 | $6,574.44 | |
United
| Facility | $1,189.00 | $3,300.00 | $11,186.00 |