| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $4,897.79 | $11,220.18 | |
Anthem BCBS
| Facility | $6,456.54 | $14,454.40 | $19,054.61 | |
CareSource
| Facility | $2,290.87 | $2,290.87 | $2,290.87 | |
United
| Facility | $1,288.25 | $6,025.60 | $10,715.19 |