| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.00 | $3,989.00 | $5,232.14 | |
Anthem BCBS
| Facility | $2,575.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $3,157.86 | $4,024.72 | $4,644.32 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |