| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,389.00 | $13,151.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,517.00 | $14,433.00 | |
Medica
| Facility | $920.63 | $1,555.56 | $21,310.46 | |
United
| Facility | $2,426.00 | $4,463.00 | $12,989.00 |