| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,851.63 | $8,037.00 | $11,754.00 | |
Anthem BCBS
| Facility | $2,084.00 | $4,437.00 | $19,117.00 | |
CareSource
| Facility | $1,491.88 | $1,829.00 | $2,631.55 | |
United
| Facility | $3,279.00 | $6,578.00 | $10,989.00 |