| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.61 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $7,446.00 | $18,496.73 | $25,750.00 | |
CareSource
| Facility | $514.57 | $655.82 | $756.72 | |
United
| Facility | $1,403.00 | $5,242.00 | $12,027.00 |