| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $674.11 | $3,500.00 | $7,954.00 | |
Anthem BCBS
| Facility | $629.50 | $921.60 | $8,388.00 | |
CareSource
| Facility | $651.61 | $847.09 | $977.42 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |