| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,974.49 | $2,197.37 | $4,846.00 | |
Anthem BCBS
| Facility | $7,881.00 | $23,381.41 | $33,555.00 | |
CareSource
| Facility | $1,918.50 | $2,445.14 | $2,821.32 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |