| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.30 | $1,321.81 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,044.01 | $15,154.00 | |
CareSource
| Facility | $1,079.54 | $1,524.06 | $2,286.09 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |