| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $4,897.79 | $11,220.18 | |
Anthem BCBS
| Facility | $9,549.93 | $18,620.87 | $26,302.68 | |
CareSource
| Facility | $870.96 | $891.25 | $1,023.29 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |