| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.58 | $2,318.00 | $16,042.00 | |
Anthem BCBS
| Facility | $12,191.00 | $24,007.11 | $33,555.00 | |
CareSource
| Facility | $1,104.15 | $1,515.50 | $2,273.25 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |