| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,994.22 | $2,740.03 | $9,145.79 | |
Anthem BCBS
| Facility | $2,187.05 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $1,621.32 | $2,107.71 | $2,431.98 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |