| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,195.95 | $2,318.00 | $11,093.00 | |
Anthem BCBS
| Facility | $1,521.00 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $988.10 | $1,301.97 | $2,088.56 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |