| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,598.98 | $2,318.00 | $4,846.00 | |
Anthem BCBS
| Facility | $2,705.10 | $16,700.00 | $33,821.32 | |
CareSource
| Facility | $1,543.63 | $2,006.72 | $2,315.44 | |
United
| Facility | $5,431.00 | $12,330.00 | $17,416.00 |