| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $942.32 | $2,421.76 | $16,042.00 | |
Anthem BCBS
| Facility | $4,800.00 | $20,184.00 | $30,193.55 | |
CareSource
| Facility | $928.48 | $1,274.38 | $1,911.57 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |