| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,560.00 | $12,174.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,319.00 | $9,663.00 | |
Medica
| Facility | $55.00 | $821.33 | $7,900.00 | |
United
| Facility | $2,426.00 | $4,432.00 | $12,989.00 |