| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,173.09 | $2,318.00 | $11,093.00 | |
Anthem BCBS
| Facility | $4,209.00 | $9,367.48 | $14,278.45 | |
CareSource
| Facility | $1,163.99 | $1,597.64 | $2,396.46 | |
United
| Facility | $3,364.00 | $6,032.00 | $10,413.00 |