| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,126.43 | $2,318.00 | $14,063.00 | |
Anthem BCBS
| Facility | $4,838.00 | $17,380.30 | $25,253.12 | |
CareSource
| Facility | $1,088.14 | $1,414.58 | $1,632.21 | |
United
| Facility | $4,472.00 | $10,113.00 | $15,750.00 |