| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,204.76 | $1,708.45 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $10,389.62 | $15,154.00 | |
CareSource
| Facility | $1,197.53 | $1,526.27 | $1,761.08 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |