| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.05 | $240.58 | $4,846.00 | |
Anthem BCBS
| Facility | $1,646.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $165.07 | $210.38 | $242.75 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |