| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.03 | $1,600.24 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $1,327.03 | $1,691.31 | $1,951.52 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |