| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $2,343.90 | $11,093.00 | |
Anthem BCBS
| Facility | $2,705.10 | $16,700.00 | $33,821.32 | |
CareSource
| Facility | $1,473.60 | $1,941.69 | $2,912.54 | |
United
| Facility | $4,472.00 | $10,113.00 | $15,750.00 |