| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.34 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $9,569.00 | |
Medica
| Facility | $260.39 | $507.76 | $3,547.90 | |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |