| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.00 | $4,858.00 | $9,304.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $234.20 | $504.74 | $22,240.43 | |
United
| Facility | $1,644.00 | $2,874.00 | $5,813.00 |