| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,598.00 | $2,058.35 | $9,550.00 | |
Anthem BCBS
| Facility | $7,446.00 | $19,160.43 | $26,986.76 | |
CareSource
| Facility | $1,650.50 | $2,174.77 | $3,495.18 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |