| 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 | $5,778.00 | $23,175.52 | $32,252.00 | |
CareSource
| Facility | $2,151.23 | $2,796.61 | $3,226.86 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |