| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $4,897.79 | $10,964.78 | |
Anthem BCBS
| Facility | $8,317.64 | $19,952.62 | $27,542.29 | |
CareSource
| Facility | $933.25 | $1,023.29 | $1,096.48 | |
United
| Facility | $4,570.88 | $11,220.18 | $17,378.01 |