| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,054.86 | $3,697.00 | $7,996.00 | |
Aetna
| Facility | 50 | $5,493.00 | $5,493.00 | $5,493.00 |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $184.37 | $1,000.00 | $3,693.00 | |
United
| Facility | $1,708.00 | $3,502.00 | $6,854.00 |