| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.19 | $3,589.00 | $7,460.45 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $174.90 | $336.87 | $4,332.00 | |
United
| Facility | $1,644.00 | $2,833.00 | $5,620.00 |