| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,006.48 | $2,586.65 | $10,985.00 | |
Anthem BCBS
| Facility | $3,581.00 | $34,954.50 | $49,433.26 | |
CareSource
| Facility | $978.06 | $1,271.48 | $1,467.09 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,649.00 |