| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $4,027.88 | $7,996.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $288.44 | $549.48 | $10,019.70 | |
United
| Facility | $1,644.00 | $2,874.00 | $5,813.00 |