| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $3,500.00 | $14,063.00 | |
Anthem BCBS
| Facility | $5,778.00 | $23,175.52 | $32,252.00 | |
CareSource
| Facility | $2,444.75 | $3,178.18 | $3,667.13 | |
United
| Facility | $4,472.00 | $10,113.00 | $15,750.00 |