| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $3,464.67 | $11,093.00 | |
Anthem BCBS
| Facility | $4,800.00 | $12,181.52 | $16,615.00 | |
CareSource
| Facility | $1,829.71 | $2,665.13 | $2,870.14 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |