| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,142.83 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,580.56 | $24,062.10 | |
CareSource
| Facility | $1,083.58 | $1,381.03 | $1,593.50 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |