| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.00 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $5,295.00 | |
Medica
| Facility | $55.00 | $2,118.17 | $7,270.90 | |
United
| Facility | $2,902.00 | $4,275.62 | $6,040.00 |