| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,260.30 | $1,524.55 | $4,846.00 | |
Anthem BCBS
| Facility | $1,969.80 | $12,775.00 | $30,091.00 | |
CareSource
| Facility | $1,247.34 | $1,580.92 | $1,834.34 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |