| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.65 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $165.16 | $308.14 | $3,500.00 | |
United
| Facility | $1,367.00 | $2,693.00 | $10,500.00 |