| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $1,616.37 | $7,212.00 | |
Anthem BCBS
| Facility | $1,153.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $1,340.40 | $1,708.36 | $1,971.18 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |