| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $2,344.23 | $4,897.79 | |
Anthem BCBS
| Facility | $6,456.54 | $14,125.38 | $19,054.61 | |
CareSource
| Facility | $1,174.90 | $1,202.26 | $1,380.38 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |