| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,365.33 | $2,318.00 | $16,042.00 | |
Anthem BCBS
| Facility | $4,800.00 | $33,765.49 | $49,433.26 | |
CareSource
| Facility | $1,351.02 | $1,854.34 | $2,781.51 | |
United
| Facility | $5,051.00 | $11,452.00 | $17,416.00 |