| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $4,610.00 | $12,237.00 | |
Anthem BCBS
| Facility | $2,114.00 | $6,000.00 | $14,488.00 | |
Medica
| Facility | $411.66 | $1,708.00 | $4,182.77 | |
United
| Facility | $1,473.00 | $3,527.00 | $19,684.00 |