| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,249.58 | $2,318.00 | $14,063.00 | |
Anthem BCBS
| Facility | $1,646.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $1,287.64 | $1,817.84 | $2,726.76 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |