| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $2,089.30 | $13,489.63 | $19,054.61 | |
CareSource
| Facility | $363.08 | $398.11 | $426.58 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |