| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.23 | $1,948.65 | $10,985.00 | |
Anthem BCBS
| Facility | $1,521.00 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $808.97 | $1,103.15 | $1,654.73 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |