| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.00 | $2,750.51 | $4,846.00 | |
Anthem BCBS
| Facility | $1,936.00 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $2,181.00 | $2,779.71 | $3,207.36 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |