| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $3,500.00 | $10,985.00 | |
Anthem BCBS
| Facility | $4,800.00 | $48,570.00 | $70,653.03 | |
CareSource
| Facility | $1,484.85 | $1,930.31 | $2,227.28 | |
United
| Facility | $6,475.00 | $14,460.00 | $20,461.00 |