| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,196.00 | $2,670.56 | $8,229.00 | |
Anthem BCBS
| Facility | $8,584.00 | $10,099.00 | $11,870.00 | |
CareSource
| Facility | $2,476.33 | $3,398.89 | $3,920.86 | |
United
| Facility | $405.00 | $2,513.00 | $27,879.00 |