| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,032.97 | $2,318.00 | $10,985.00 | |
Anthem BCBS
| Facility | $7,881.00 | $35,162.29 | $49,433.26 | |
CareSource
| Facility | $1,027.56 | $1,410.37 | $2,115.56 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |