| 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 | $483.60 | $920.87 | $13,209.65 | |
United
| Facility | $786.00 | $1,729.00 | $2,664.00 |