| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,677.35 | $8,511.38 | |
Anthem BCBS
| Facility | $2,238.72 | $4,677.35 | $8,912.51 | |
Medica
| Facility | $630.96 | $1,258.93 | $5,754.40 | |
United
| Facility | $2,884.03 | $3,548.13 | $11,220.18 |