| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $9,772.37 | $22,387.21 | |
Anthem BCBS
| Facility | $12,589.25 | $30,199.52 | $43,651.58 | |
CareSource
| Facility | $1,202.26 | $1,318.26 | $1,513.56 | |
United
| Facility | $3,388.44 | $6,025.60 | $12,022.64 |