| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,897.79 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $7,244.36 | $14,454.40 | |
Medica
| Facility | $1,778.28 | $3,162.28 | $10,471.29 | |
United
| Facility | $1,380.38 | $2,818.38 | $11,220.18 |