| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $4,897.79 | $14,125.38 | |
Anthem BCBS
| Facility | $8,317.64 | $19,952.62 | $27,542.29 | |
CareSource
| Facility | $1,096.48 | $1,202.26 | $1,288.25 | |
United
| Facility | $4,570.88 | $11,220.18 | $17,378.01 |