| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $857.17 | $27,155.26 | $46,575.00 | |
Anthem BCBS
| Facility | $3,841.00 | $40,050.00 | $97,906.00 | |
CareSource
| Facility | $733.94 | $935.42 | $1,079.33 | |
United
| Facility | $10,855.00 | $20,800.00 | $45,158.00 |