| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,560.00 | $13,151.00 | |
Anthem BCBS
| Facility | $2,232.00 | $6,492.00 | $15,862.67 | |
Medica
| Facility | $1,751.67 | $2,813.10 | $9,475.00 | |
United
| Facility | $2,578.00 | $6,058.00 | $19,082.00 |