| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,001.45 | $1,087.50 | $4,846.00 | |
Anthem BCBS
| Facility | $1,429.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $865.08 | $1,139.86 | $1,831.94 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |