| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $2,344.23 | $4,897.79 | |
Anthem BCBS
| Facility | $16,982.44 | $40,738.03 | $57,543.99 | |
CareSource
| Facility | $1,380.38 | $1,548.82 | $1,659.59 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |