| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $4,897.79 | $16,218.10 | |
Anthem BCBS
| Facility | $12,589.25 | $30,199.52 | $43,651.58 | |
CareSource
| Facility | $2,137.96 | $2,398.83 | $2,691.53 | |
United
| Facility | $5,011.87 | $11,481.54 | $17,378.01 |