| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.00 | $4,908.00 | $13,177.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,279.00 | $8,563.00 | |
Medica
| Facility | $681.97 | $1,142.97 | $26,542.00 | |
United
| Facility | $2,426.00 | $4,432.00 | $12,989.00 |