| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $906.24 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $6,085.00 | $18,927.70 | $28,794.00 | |
CareSource
| Facility | $887.40 | $1,252.80 | $1,879.20 | |
United
| Facility | $6,526.00 | $14,061.00 | $19,962.00 |