| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,494.00 | $4,846.00 | $27,092.02 | |
Anthem BCBS
| Facility | $12,000.00 | $35,293.60 | $50,348.10 | |
CareSource
| Facility | $1,528.29 | $2,097.65 | $3,146.48 | |
United
| Facility | $6,526.00 | $15,288.00 | $23,366.00 |