| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.50 | $942.06 | $11,611.72 | |
Anthem BCBS
| Facility | $3,769.00 | $8,637.62 | $12,441.54 | |
CareSource
| Facility | $785.05 | $1,020.57 | $1,178.24 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |