| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $582.89 | $2,750.07 | $11,093.00 | |
Anthem BCBS
| Facility | $2,318.00 | $6,474.00 | $13,758.00 | |
CareSource
| Facility | $653.44 | $784.13 | $980.16 | |
United
| Facility | $3,846.00 | $8,348.00 | $12,569.00 |