| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,386.00 | $2,530.03 | $16,042.00 | |
Anthem BCBS
| Facility | $2,705.10 | $16,700.00 | $33,821.32 | |
CareSource
| Facility | $1,497.06 | $1,946.18 | $2,245.59 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |