| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.00 | $117.83 | $1,892.72 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,852.00 | |
Medica
| Facility | $55.00 | $1,380.00 | $4,989.20 | |
United
| Facility | $1,012.34 | $1,808.00 | $3,071.00 |