| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $14,125.38 | $31,622.78 | |
Anthem BCBS
| Facility | $10,471.29 | $25,118.86 | $31,622.78 | |
CareSource
| Facility | $1,122.02 | $1,174.90 | $1,318.26 | |
United
| Facility | $2,290.87 | $9,549.93 | $16,218.10 |