| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,373.62 | $3,500.00 | $10,985.00 | |
Anthem BCBS
| Facility | $2,705.10 | $16,700.00 | $33,821.32 | |
CareSource
| Facility | $1,334.00 | $1,734.20 | $2,001.00 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |