| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,208.60 | $1,333.62 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $1,065.46 | $1,357.94 | $1,566.86 | |
United
| Facility | $6,290.00 | $13,022.00 | $19,477.00 |