| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $75.86 | $87.10 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Medica
| Facility | $54.95 | $144.54 | $1,288.25 | |
United
| Facility | $338.84 | $707.95 | $1,412.54 |