| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,098.00 | $3,214.00 | $8,000.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $539.80 | $854.75 | $16,394.00 | |
United
| Facility | $1,694.00 | $3,018.00 | $23,874.12 |