| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,193.30 | $4,908.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,232.00 | $4,864.00 | $12,691.00 | |
Medica
| Facility | $760.44 | $1,473.00 | $6,616.00 | |
United
| Facility | $1,708.00 | $3,502.00 | $9,185.00 |