| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,569.99 | $1,816.60 | $4,846.00 | |
Anthem BCBS
| Facility | $6,085.00 | $18,927.70 | $28,794.00 | |
CareSource
| Facility | $1,588.86 | $2,166.63 | $3,249.95 | |
United
| Facility | $6,526.00 | $14,061.00 | $19,962.00 |