| 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 | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $1,254.07 | $2,445.44 | $18,642.13 | |
United
| Facility | $2,156.00 | $4,000.00 | $10,781.00 |