| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.30 | $3,213.00 | $7,365.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,958.00 | |
Medica
| Facility | $68.67 | $175.37 | $1,795.00 | |
United
| Facility | $245.00 | $875.00 | $1,300.00 |