| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,291.13 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $10,577.42 | $18,643.75 | |
CareSource
| Facility | $1,115.31 | $1,469.58 | $2,361.83 | |
United
| Facility | $1,568.27 | $5,660.00 | $11,929.00 |