| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,139.00 | $3,232.00 | $9,054.00 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Medica
| Facility | $617.90 | $1,224.04 | $12,000.00 | |
United
| Facility | $2,426.00 | $4,390.00 | $12,989.00 |