| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $975.10 | $1,224.64 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,580.56 | $24,062.10 | |
CareSource
| Facility | $1,011.54 | $1,428.06 | $2,142.09 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |