| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,549.06 | $4,846.00 | $40,315.30 | |
Anthem BCBS
| Facility | $5,091.00 | $17,895.78 | $25,253.12 | |
CareSource
| Facility | $1,518.36 | $1,935.17 | $2,232.89 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |