| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,601.02 | $8,395.76 | $11,627.00 | |
Anthem BCBS
| Facility | $2,698.00 | $8,125.00 | $60,294.00 | |
CareSource
| Facility | $2,500.52 | $3,000.62 | $3,713.92 | |
United
| Facility | $650.00 | $2,883.00 | $6,111.00 |