| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,091.36 | $14,063.00 | $31,832.78 | |
Anthem BCBS
| Facility | $6,085.00 | $18,927.70 | $28,794.00 | |
CareSource
| Facility | $1,167.73 | $1,592.36 | $2,388.54 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |