| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,217.52 | $2,654.65 | $4,846.00 | |
Anthem BCBS
| Facility | $3,650.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $2,201.42 | $2,805.73 | $3,237.38 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |