| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,352.95 | $1,573.02 | $4,846.00 | |
Anthem BCBS
| Facility | $1,887.70 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $1,271.30 | $1,620.28 | $1,869.56 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |