| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $4,897.79 | $16,218.10 | |
Anthem BCBS
| Facility | $8,317.64 | $19,952.62 | $27,542.29 | |
CareSource
| Facility | $954.99 | $1,000.00 | $1,122.02 | |
United
| Facility | $4,073.80 | $7,762.47 | $10,964.78 |