| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,760.00 | $5,691.00 | $12,154.00 | |
Anthem BCBS
| Facility | $2,114.00 | $5,617.00 | $12,691.00 | |
Medica
| Facility | $1,307.83 | $2,132.34 | $9,858.00 | |
United
| Facility | $2,209.00 | $6,362.00 | $12,989.00 |