| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,319.40 | $1,532.83 | $4,846.00 | |
Anthem BCBS
| Facility | $6,085.00 | $18,927.70 | $28,794.00 | |
CareSource
| Facility | $1,237.65 | $1,577.39 | $1,820.07 | |
United
| Facility | $1,737.11 | $5,660.00 | $11,929.00 |