| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.00 | $2,647.10 | $4,846.00 | |
Anthem BCBS
| Facility | $2,043.40 | $12,775.00 | $30,091.00 | |
CareSource
| Facility | $2,473.01 | $3,151.88 | $3,636.78 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |