| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.00 | $2,541.01 | $4,846.00 | |
Anthem BCBS
| Facility | $3,650.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $2,015.15 | $2,568.33 | $2,963.46 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |