| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $3,801.89 | $5,623.41 | |
Anthem BCBS
| Facility | $6,456.54 | $14,454.40 | $19,498.45 | |
CareSource
| Facility | $316.23 | $346.74 | $398.11 | |
United
| Facility | $933.25 | $2,238.72 | $7,413.10 |