| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.00 | $4,610.00 | $8,485.00 | |
Anthem BCBS
| Facility | $2,114.00 | $5,617.00 | $12,691.00 | |
Medica
| Facility | $636.33 | $1,028.94 | $19,103.99 | |
United
| Facility | $2,156.00 | $4,600.00 | $10,781.00 |