| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,364.66 | $3,500.00 | $10,985.00 | |
Anthem BCBS
| Facility | $4,800.00 | $50,256.10 | $71,960.59 | |
CareSource
| Facility | $1,334.28 | $1,734.56 | $2,001.42 | |
United
| Facility | $6,290.00 | $13,780.00 | $20,461.00 |