| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $890.52 | $2,318.00 | $16,042.00 | |
Anthem BCBS
| Facility | $4,800.00 | $20,184.00 | $30,193.55 | |
CareSource
| Facility | $880.38 | $1,208.36 | $1,812.56 | |
United
| Facility | $4,472.00 | $10,113.00 | $15,750.00 |