| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,027.70 | $1,694.31 | $39,568.15 | |
Anthem BCBS
| Facility | $4,800.00 | $10,389.62 | $15,154.00 | |
CareSource
| Facility | $1,022.60 | $1,303.32 | $1,524.65 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |