| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $2,511.89 | $7,413.10 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Medica
| Facility | $138.04 | $275.42 | $1,380.38 | |
United
| Facility | $537.03 | $1,047.13 | $2,238.72 |