| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $10,471.29 | $25,118.86 | $31,622.78 | |
CareSource
| Facility | $660.69 | $691.83 | $776.25 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |