| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $4,677.35 | $4,897.79 | |
Anthem BCBS
| Facility | $12,589.25 | $30,199.52 | $41,686.94 | |
CareSource
| Facility | $2,884.03 | $3,019.95 | $3,388.44 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |