| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,414.72 | $1,654.46 | $4,846.00 | |
Anthem BCBS
| Facility | $7,881.00 | $23,381.41 | $33,555.00 | |
CareSource
| Facility | $1,403.70 | $1,789.03 | $2,064.27 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 |