| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,098.00 | $3,351.00 | $7,365.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $310.22 | $614.54 | $16,394.00 | |
United
| Facility | $1,742.00 | $2,849.00 | $5,200.00 |