| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.00 | $3,907.00 | $7,996.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $873.88 | $1,416.16 | $3,532.00 | |
United
| Facility | $1,438.00 | $2,833.00 | $5,813.00 |