| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,389.96 | $4,022.91 | $10,985.00 | |
Anthem BCBS
| Facility | $6,268.00 | $48,294.77 | $70,653.03 | |
CareSource
| Facility | $1,349.16 | $1,686.45 | $1,989.69 | |
United
| Facility | $6,475.00 | $14,460.00 | $23,366.00 |