| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $2,318.00 | $16,042.00 | |
Anthem BCBS
| Facility | $6,085.00 | $18,927.70 | $28,794.00 | |
CareSource
| Facility | $1,538.83 | $2,172.44 | $3,258.68 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |