| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,027.67 | $1,411.99 | $16,042.00 | |
Anthem BCBS
| Facility | $4,800.00 | $15,370.98 | $21,000.00 | |
CareSource
| Facility | $887.73 | $1,169.70 | $1,879.88 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |