| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,507.00 | $5,691.00 | $9,823.00 | |
Aetna
| Professional | $2,507.00 | $4,610.00 | $8,485.00 | |
Anthem BCBS
| Facility | $6,543.00 | $9,204.00 | $15,746.00 | |
Medica
| Facility | $1,300.00 | $8,388.00 | $16,536.72 | |
United
| Facility | $2,209.00 | $5,717.00 | $12,989.00 |