| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $4,897.79 | $11,220.18 | |
Anthem BCBS
| Facility | $10,471.29 | $25,703.96 | $33,113.11 | |
CareSource
| Facility | $1,096.48 | $1,148.15 | $1,288.25 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |