| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $3,548.13 | $4,897.79 | |
Anthem BCBS
| Facility | $12,589.25 | $30,199.52 | $41,686.94 | |
CareSource
| Facility | $2,344.23 | $2,454.71 | $2,754.23 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |