| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $17,408.00 | $35,279.33 | |
Anthem BCBS
| Facility | $2,575.00 | $20,160.00 | $45,778.00 | |
CareSource
| Facility | $1,434.34 | $2,024.96 | $3,037.44 | |
United
| Facility | $5,431.00 | $10,855.00 | $17,380.00 |