| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.00 | $803.00 | $803.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $749.04 | $1,022.00 | $1,178.95 |
Opn Subcla Crtd Art Trpos Nck Inc Ulat
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.00 | $803.00 | $803.00 | |
Anthem BCBS
| Facility | $4,755.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $749.04 | $1,022.00 | $1,178.95 |