| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,316.21 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $1,603.32 | $2,318.00 | $13,810.27 | |
CareSource
| Facility | $1,091.49 | $1,391.12 | $1,605.14 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |