| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.00 | $552.00 | $1,344.00 | |
Anthem BCBS
| Facility | $330.00 | $563.00 | $915.00 | |
Medica
| Facility | $4,000.00 | $4,000.00 | $4,000.00 | |
United
| Facility | $944.00 | $944.00 | $944.00 |