| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.58 | $1,480.61 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,580.56 | $24,062.10 | |
CareSource
| Facility | $1,324.13 | $1,805.63 | $2,708.45 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |