| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $584.48 | $1,598.00 | $9,550.00 | |
Anthem BCBS
| Facility | $3,841.00 | $40,041.00 | $56,650.00 | |
CareSource
| Facility | $579.40 | $738.45 | $852.06 | |
United
| Facility | $5,897.00 | $13,813.00 | $28,128.00 |