| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,440.00 | $5,691.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,232.00 | $4,864.00 | $12,691.00 | |
Medica
| Facility | $920.04 | $1,949.45 | $9,185.00 | |
United
| Facility | $1,185.00 | $5,275.00 | $11,343.00 |