| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,051.79 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $4,838.00 | $15,573.15 | $23,814.00 | |
CareSource
| Facility | $1,045.26 | $1,332.19 | $1,537.14 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |