| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.00 | $3,232.00 | $8,307.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $461.27 | $837.73 | $12,623.50 | |
United
| Facility | $1,748.00 | $3,700.00 | $17,638.00 |