| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,304.21 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $1,482.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $1,126.59 | $1,484.46 | $2,385.75 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |