| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,303.89 | $1,494.00 | $10,985.00 | |
Anthem BCBS
| Facility | $5,048.00 | $36,772.99 | $48,411.29 | |
CareSource
| Facility | $1,081.27 | $1,378.09 | $1,590.73 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |