| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,318.00 | $5,140.62 | $7,954.00 | |
Anthem BCBS
| Facility | $3,650.00 | $29,200.00 | $56,650.00 | |
CareSource
| Facility | $4,756.35 | $6,183.27 | $7,134.54 | |
United
| Facility | $612.00 | $5,076.00 | $10,396.00 |