| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,769.17 | $2,031.43 | $4,846.00 | |
Anthem BCBS
| Facility | $5,778.00 | $23,175.52 | $32,252.00 | |
CareSource
| Facility | $1,717.65 | $2,232.94 | $2,576.48 | |
United
| Facility | $2,062.00 | $5,660.00 | $10,926.00 |