| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $998.35 | $4,908.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,279.00 | $10,043.00 | |
Medica
| Facility | $838.80 | $1,933.24 | $26,542.00 | |
United
| Facility | $2,120.00 | $3,318.00 | $5,740.00 |