| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,222.57 | $16,498.61 | $24,996.90 | |
Anthem BCBS
| Facility | $2,310.00 | $10,288.00 | $26,304.00 | |
CareSource
| Facility | $1,204.08 | $1,534.62 | $1,770.72 | |
United
| Facility | $4,699.00 | $9,369.00 | $15,660.00 |