| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,029.39 | $2,645.53 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,044.01 | $15,154.00 | |
CareSource
| Facility | $1,067.51 | $1,507.08 | $2,260.62 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |