| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $837.61 | $837.61 | $1,813.88 | |
Anthem BCBS
| Facility | $1,646.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $723.54 | $953.37 | $1,532.21 |
Opn Subcla Crtd Art Trpos Nck Inc Ulat
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $837.61 | $837.61 | $1,813.88 | |
Anthem BCBS
| Facility | $1,646.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $723.54 | $953.37 | $1,532.21 |