| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.15 | $3,876.60 | $9,874.84 | |
Anthem BCBS
| Facility | $529.15 | $1,021.26 | $48,570.00 | |
CareSource
| Facility | $341.63 | $427.04 | $512.45 | |
United
| Facility | $4,699.00 | $10,400.00 | $18,207.00 |