| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,767.60 | $5,646.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,232.00 | $4,864.00 | $12,691.00 | |
Medica
| Facility | $1,464.32 | $2,651.40 | $19,164.06 | |
United
| Facility | $1,185.00 | $5,275.00 | $11,343.00 |