| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,285.52 | $2,370.11 | $4,846.00 | |
Anthem BCBS
| Facility | $7,446.00 | $21,000.00 | $28,558.98 | |
CareSource
| Facility | $1,542.67 | $2,103.65 | $3,155.48 | |
United
| Facility | $1,403.00 | $5,242.00 | $12,027.00 |