| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $4,931.00 | $12,154.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $280.55 | $555.76 | $13,209.65 | |
United
| Facility | $1,644.00 | $2,874.00 | $5,813.00 |