| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,144.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,449.00 | $10,043.00 | |
Medica
| Facility | $899.00 | $1,716.48 | $7,630.56 | |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |