| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,178.31 | $3,028.26 | $17,225.00 | |
Anthem BCBS
| Facility | $4,427.00 | $11,294.00 | $22,813.00 | |
CareSource
| Facility | $1,135.19 | $1,519.74 | $2,298.77 | |
United
| Facility | $2,998.00 | $9,550.00 | $15,750.00 |