| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,782.30 | $4,846.00 | $29,213.18 | |
Anthem BCBS
| Facility | $6,085.00 | $16,165.29 | $28,794.00 | |
CareSource
| Facility | $1,674.45 | $2,134.11 | $2,462.42 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |