| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $4,846.00 | $10,985.00 | |
Anthem BCBS
| Facility | $5,778.00 | $48,259.71 | $70,653.03 | |
CareSource
| Facility | $1,863.88 | $2,423.04 | $2,795.82 | |
United
| Facility | $6,475.00 | $14,307.00 | $19,962.00 |