| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.00 | $3,131.00 | $8,000.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $527.10 | $1,044.16 | $12,000.00 | |
United
| Facility | $1,742.00 | $2,680.00 | $5,200.00 |