| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,481.04 | $1,508.66 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $10,300.00 | $14,897.91 | |
CareSource
| Facility | $1,180.59 | $1,504.69 | $1,736.18 | |
United
| Facility | $3,200.00 | $8,348.00 | $11,284.00 |