| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,820.47 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $1,397.94 | $2,667.69 | $26,542.00 | |
United
| Facility | $2,516.00 | $4,451.97 | $6,980.00 |