| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $4,897.79 | $17,378.01 | |
Anthem BCBS
| Facility | $9,549.93 | $19,054.61 | $26,302.68 | |
CareSource
| Facility | $1,318.26 | $1,348.96 | $1,548.82 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |