| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,196.46 | $2,472.00 | $17,225.00 | |
Anthem BCBS
| Facility | $1,572.60 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $1,183.47 | $1,508.34 | $1,740.39 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |