| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,129.04 | $1,278.23 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $1,059.99 | $1,350.97 | $1,558.82 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |