| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,494.00 | $3,495.97 | $107,298.20 | |
Anthem BCBS
| Facility | $5,048.00 | $36,772.99 | $48,411.29 | |
CareSource
| Facility | $1,331.70 | $1,697.27 | $1,961.43 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |