| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,152.72 | $1,261.08 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $10,577.42 | $18,643.75 | |
CareSource
| Facility | $995.74 | $1,312.04 | $2,108.64 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |