| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $10,471.29 | $25,118.86 | $31,622.78 | |
CareSource
| Facility | $741.31 | $758.58 | $870.96 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |