| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.00 | $5,160.93 | $7,091.05 | |
Anthem BCBS
| Facility | $3,841.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $4,279.81 | $5,454.66 | $6,293.84 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |