| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $9,772.37 | $25,703.96 | $32,359.37 | |
CareSource
| Facility | $1,479.11 | $1,548.82 | $1,737.80 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |