| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.04 | $4,470.00 | $12,174.00 | |
Anthem BCBS
| Facility | $2,224.00 | $4,500.00 | $12,235.48 | |
Medica
| Facility | $749.74 | $1,189.00 | $7,903.00 | |
United
| Facility | $1,185.00 | $3,233.00 | $11,343.00 |