| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,706.00 | $7,014.00 | $15,116.00 | |
Anthem BCBS
| Facility | $1,826.00 | $3,564.00 | $7,425.00 | |
Medica
| Facility | $459.00 | $1,020.00 | $13,383.00 | |
United
| Facility | $450.00 | $850.00 | $2,568.00 |