| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,976.62 | $2,069.17 | $4,846.00 | |
Anthem BCBS
| Facility | $2,310.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $1,707.45 | $2,249.81 | $3,615.78 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |