| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,203.69 | $1,653.85 | $14,063.00 | |
Anthem BCBS
| Facility | $1,542.50 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $1,039.78 | $1,370.05 | $2,201.88 | |
United
| Facility | $4,530.32 | $10,855.00 | $17,380.00 |