| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,065.67 | $1,141.36 | $4,846.00 | |
Anthem BCBS
| Facility | $1,429.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $920.55 | $1,212.96 | $1,944.23 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |