| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $2,415.96 | $11,093.00 | |
Anthem BCBS
| Facility | $4,800.00 | $9,885.20 | $16,615.00 | |
CareSource
| Facility | $1,458.16 | $2,001.40 | $3,002.10 | |
United
| Facility | $3,364.00 | $6,032.00 | $10,413.00 |