| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,154.99 | $16,042.00 | $37,613.18 | |
Anthem BCBS
| Facility | $2,575.00 | $20,160.00 | $45,778.00 | |
CareSource
| Facility | $1,193.68 | $1,685.19 | $2,527.79 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |