| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.00 | $2,500.85 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $17,895.78 | $25,253.12 | |
CareSource
| Facility | $2,333.96 | $2,974.66 | $3,432.30 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |