| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,677.35 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,786.30 | $10,000.00 | |
Medica
| Facility | $54.95 | $1,445.44 | $5,888.44 | |
United
| Facility | $1,288.25 | $2,398.83 | $4,073.80 |