| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.08 | $1,520.28 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $17,895.78 | $25,253.12 | |
CareSource
| Facility | $1,238.07 | $1,577.93 | $1,820.69 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 |