| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $4,897.79 | $7,244.36 | |
Anthem BCBS
| Facility | $6,456.54 | $14,454.40 | $19,498.45 | |
CareSource
| Facility | $851.14 | $933.25 | $1,071.52 | |
United
| Facility | $5,011.87 | $11,481.54 | $17,378.01 |