| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,542.85 | $3,500.30 | $7,690.80 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $687.03 | $1,360.96 | $22,240.43 | |
United
| Facility | $2,156.00 | $4,000.00 | $10,781.00 |