| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.00 | $2,598.00 | $9,054.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $394.08 | $780.64 | $10,868.80 | |
United
| Facility | $1,748.00 | $3,502.00 | $6,854.00 |