| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,839.86 | $2,158.01 | $4,846.00 | |
Anthem BCBS
| Facility | $7,881.00 | $23,381.41 | $33,555.00 | |
CareSource
| Facility | $1,823.67 | $2,324.28 | $2,681.87 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |