| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.55 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $17,895.78 | $25,253.12 | |
CareSource
| Facility | $1,006.34 | $1,282.58 | $1,479.92 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |