| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,040.32 | $4,846.00 | $11,093.00 | |
Anthem BCBS
| Facility | $4,800.00 | $10,300.00 | $15,241.44 | |
CareSource
| Facility | $898.65 | $1,184.10 | $1,901.63 | |
United
| Facility | $1,403.00 | $5,242.00 | $12,027.00 |