| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $4,265.80 | $8,317.64 | $10,471.29 | |
CareSource
| Facility | $151.36 | $169.82 | $190.55 | |
United
| Facility | $1,412.54 | $5,623.41 | $12,022.64 |