| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,039.08 | $4,470.00 | $12,154.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $55.00 | $1,514.72 | $9,879.00 | |
United
| Facility | $1,182.00 | $3,233.00 | $11,343.00 |