| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,389.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,232.00 | $6,492.00 | $15,862.67 | |
Medica
| Facility | $1,613.35 | $2,877.22 | $9,475.00 | |
United
| Facility | $1,185.00 | $7,904.00 | $11,489.00 |