| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,221.71 | $5,135.00 | $11,627.00 | |
Anthem BCBS
| Facility | $1,760.00 | $3,528.00 | $14,996.00 | |
CareSource
| Facility | $1,161.27 | $1,393.52 | $1,724.79 | |
United
| Facility | $1,480.00 | $3,086.00 | $6,111.00 |