| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,131.64 | $2,224.56 | $4,846.00 | |
Anthem BCBS
| Facility | $1,903.70 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $1,767.70 | $2,252.94 | $2,599.56 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |