| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $4,897.79 | $14,454.40 | |
Anthem BCBS
| Facility | $6,456.54 | $14,791.08 | $75,857.76 | |
CareSource
| Facility | $1,380.38 | $1,548.82 | $1,737.80 | |
United
| Facility | $6,165.95 | $13,803.84 | $22,387.21 |