| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,616.38 | $1,878.00 | $4,846.00 | |
Anthem BCBS
| Facility | $5,778.00 | $23,175.52 | $32,252.00 | |
CareSource
| Facility | $1,566.88 | $2,036.94 | $2,350.32 | |
United
| Facility | $2,062.00 | $5,167.00 | $10,396.00 |