| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $4,897.79 | $10,964.78 | |
Anthem BCBS
| Facility | $6,456.54 | $14,125.38 | $19,054.61 | |
CareSource
| Facility | $1,000.00 | $1,047.13 | $1,174.90 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |