| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.00 | $2,832.00 | $7,365.00 | |
Anthem BCBS
| Facility | $2,064.00 | $4,214.00 | $9,640.00 | |
Medica
| Facility | $55.00 | $254.89 | $4,697.00 | |
United
| Facility | $1,438.00 | $2,874.00 | $5,813.00 |