| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,162.61 | $1,320.55 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $1,095.08 | $1,395.71 | $1,610.43 | |
United
| Facility | $6,526.00 | $14,061.00 | $19,962.00 |