| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,336.14 | $9,496.00 | $16,269.90 | |
Anthem BCBS
| Facility | $3,185.00 | $9,153.00 | $60,320.00 | |
CareSource
| Facility | $4,652.97 | $4,652.97 | $6,775.37 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,792.00 |