| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.95 | $4,610.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,232.00 | $4,517.00 | $20,057.00 | |
Medica
| Facility | $568.72 | $953.46 | $4,463.00 | |
United
| Facility | $2,902.00 | $5,376.20 | $11,870.00 |