| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $773.08 | $1,986.82 | $11,093.00 | |
Anthem BCBS
| Facility | $4,800.00 | $9,885.20 | $16,615.00 | |
CareSource
| Facility | $797.44 | $1,050.74 | $1,576.11 | |
United
| Facility | $3,364.00 | $6,032.00 | $10,413.00 |