| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $263.03 | $1,698.24 | $26,302.68 | |
United
| Facility | $1,819.70 | $2,570.40 | $4,677.35 |