| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,470.62 | $1,535.47 | $4,846.00 | |
Anthem BCBS
| Facility | $1,758.80 | $10,300.00 | $21,000.00 | |
CareSource
| Facility | $1,219.54 | $1,554.32 | $1,793.45 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |