| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.00 | $4,556.33 | $7,077.42 | |
Anthem BCBS
| Facility | $3,841.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $4,271.58 | $5,444.17 | $6,281.73 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |