| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $2,344.23 | $4,897.79 | |
Anthem BCBS
| Facility | $8,317.64 | $17,378.01 | $25,703.96 | |
CareSource
| Facility | $138.04 | $154.88 | $162.18 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |