| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $5,497.10 | $8,229.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,870.00 | |
CareSource
| Facility | $5,097.31 | $6,996.30 | $8,070.74 | |
United
| Facility | $405.00 | $2,513.00 | $27,879.00 |