| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $9,120.11 | $23,988.33 | |
Anthem BCBS
| Facility | $8,317.64 | $19,952.62 | $27,542.29 | |
CareSource
| Facility | $1,000.00 | $1,047.13 | $1,174.90 | |
United
| Facility | $4,466.84 | $9,549.93 | $16,218.10 |