| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.02 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,490.00 | $14,717.03 | |
Medica
| Facility | $601.16 | $1,065.08 | $4,772.00 | |
United
| Facility | $2,209.00 | $4,432.00 | $12,989.00 |