| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.00 | $3,697.00 | $7,996.00 | |
Anthem BCBS
| Facility | $2,114.00 | $4,279.00 | $8,563.00 | |
Medica
| Facility | $495.15 | $842.41 | $8,660.15 | |
United
| Facility | $1,644.00 | $2,874.00 | $5,813.00 |