| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,091.33 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $10,389.62 | $15,154.00 | |
CareSource
| Facility | $1,084.24 | $1,381.87 | $1,594.47 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |