| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.28 | $78.28 | $78.28 | |
Anthem BCBS
| Facility | $64.00 | $87.00 | $230.00 | |
Medica
| Facility | $80.00 | $80.00 | $80.00 | |
Security Health
| Facility | $90.00 | $90.00 | $90.00 | |
United
| Facility | $80.00 | $80.00 | $80.00 |