| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $2,318.00 | $16,042.00 | |
Anthem BCBS
| Facility | $4,544.00 | $21,610.88 | $30,193.55 | |
CareSource
| Facility | $1,365.96 | $1,775.75 | $2,048.94 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |