| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,255.56 | $1,391.00 | $14,063.00 | |
Anthem BCBS
| Facility | $2,310.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $1,084.58 | $1,429.09 | $2,296.76 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |