| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,171.30 | $1,404.17 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,044.01 | $15,154.00 | |
CareSource
| Facility | $1,164.43 | $1,484.08 | $1,712.40 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |