| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,401.93 | $4,846.00 | $10,985.00 | |
Anthem BCBS
| Facility | $2,575.00 | $33,179.40 | $58,226.00 | |
CareSource
| Facility | $1,368.54 | $1,779.10 | $2,052.81 | |
United
| Facility | $6,526.00 | $14,882.00 | $25,047.00 |