| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $3,434.91 | $11,093.00 | |
Anthem BCBS
| Facility | $4,800.00 | $12,181.52 | $16,615.00 | |
CareSource
| Facility | $1,814.00 | $2,642.24 | $2,845.49 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |