| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $2,318.00 | $10,985.00 | |
Anthem BCBS
| Facility | $4,800.00 | $33,765.49 | $49,433.26 | |
CareSource
| Facility | $1,356.05 | $1,762.87 | $2,034.08 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |