| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,766.48 | $2,065.86 | $4,846.00 | |
Anthem BCBS
| Facility | $7,881.00 | $23,381.41 | $33,555.00 | |
CareSource
| Facility | $1,755.25 | $2,237.08 | $2,581.25 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |