| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $2,951.21 | $4,897.79 | |
Anthem BCBS
| Facility | $10,232.93 | $25,703.96 | $35,481.34 | |
CareSource
| Facility | $1,862.09 | $2,041.74 | $2,187.76 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |