| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $5,623.41 | $14,454.40 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $10,000.00 | |
Medica
| Facility | $54.95 | $1,995.26 | $14,454.40 | |
United
| Facility | $3,162.28 | $4,168.69 | $18,620.87 |