| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.54 | $489.42 | $4,846.00 | |
Anthem BCBS
| Facility | $602.72 | $602.72 | $1,163.25 | |
CareSource
| Facility | $371.96 | $474.07 | $547.01 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |