| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,461.85 | $1,521.68 | $4,846.00 | |
Anthem BCBS
| Facility | $1,593.20 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $1,262.79 | $1,663.90 | $2,674.13 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |