| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.00 | $2,747.00 | $10,152.00 | |
Aetna
| Professional | $34,906.24 | $34,906.24 | $34,906.24 | |
Anthem BCBS
| Facility | $4,755.00 | $5,350.00 | $5,944.00 | |
CareSource
| Professional | $80,849.19 | $80,849.19 | $80,849.19 | |
United
| Facility | $1,168.00 | $6,186.00 | $15,387.00 |