| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,003.25 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $6,085.00 | $18,927.70 | $28,794.00 | |
CareSource
| Facility | $945.96 | $1,205.63 | $1,391.12 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |