| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.97 | $2,981.12 | $16,042.00 | |
Anthem BCBS
| Facility | $4,800.00 | $19,595.20 | $27,445.62 | |
CareSource
| Facility | $1,197.46 | $1,577.83 | $2,366.75 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |