| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $4,610.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $316.11 | $531.72 | $8,660.15 | |
United
| Facility | $1,080.00 | $2,136.00 | $3,004.00 |