| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,209.00 | $1,714.00 | $2,793.00 | |
Anthem BCBS
| Facility | $2,652.00 | $2,652.00 | $2,652.00 | |
Medica
| Facility | $1,108.00 | $5,000.00 | $5,000.00 | |
United
| Facility | $944.00 | $944.00 | $1,108.00 |