| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,393.31 | $4,610.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $10,961.39 | |
Medica
| Facility | $981.96 | $2,089.96 | $6,757.00 | |
United
| Facility | $2,695.00 | $5,252.00 | $19,082.00 |