| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,114.00 | $5,617.00 | $12,691.00 | |
Medica
| Facility | $1,642.88 | $2,693.15 | $9,475.00 | |
United
| Facility | $2,426.00 | $5,717.00 | $12,989.00 |