| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,879.67 | $2,142.67 | $16,359.82 | |
Anthem BCBS
| Facility | $4,800.00 | $17,649.84 | $24,713.71 | |
CareSource
| Facility | $1,776.85 | $2,264.61 | $2,613.02 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |