| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,634.91 | $5,576.85 | $12,320.60 | |
Anthem BCBS
| Facility | $2,575.00 | $31,608.00 | $58,226.00 | |
CareSource
| Facility | $1,591.24 | $1,989.05 | $2,376.00 | |
United
| Facility | $9,619.00 | $16,114.00 | $25,940.00 |