| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $2,344.23 | $4,897.79 | |
Anthem BCBS
| Facility | $20,417.38 | $40,738.03 | $52,480.75 | |
CareSource
| Facility | $691.83 | $758.58 | $812.83 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |