| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,223.90 | $2,323.90 | $4,846.00 | |
Anthem BCBS
| Facility | $2,512.90 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $1,844.21 | $2,350.46 | $2,712.08 | |
United
| Facility | $1,936.10 | $5,660.00 | $11,929.00 |