| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $3,500.00 | $16,042.00 | |
Anthem BCBS
| Facility | $4,544.00 | $21,000.00 | $28,512.03 | |
CareSource
| Facility | $2,679.91 | $3,654.42 | $5,481.63 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |