| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $1,334.00 | $2,176.00 | |
Ambetter
| Facility | $160.37 | $226.49 | $806.82 | |
Anthem BCBS
| Facility | $747.00 | $950.00 | $1,429.00 | |
Medica
| Facility | $157.53 | $676.90 | $2,688.42 |