| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $4,897.79 | $16,218.10 | |
Anthem BCBS
| Facility | $4,265.80 | $8,709.64 | $11,220.18 | |
CareSource
| Facility | $870.96 | $954.99 | $1,071.52 | |
United
| Facility | $5,011.87 | $11,481.54 | $17,378.01 |