| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $4,897.79 | $17,378.01 | |
Anthem BCBS
| Facility | $7,413.10 | $18,197.01 | $26,302.68 | |
CareSource
| Facility | $851.14 | $954.99 | $1,000.00 | |
United
| Facility | $4,570.88 | $11,220.18 | $17,378.01 |