| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $1,613.84 | $4,846.00 | |
Anthem BCBS
| Facility | $5,778.00 | $23,175.52 | $32,252.00 | |
CareSource
| Facility | $1,368.98 | $1,779.67 | $2,053.46 | |
United
| Facility | $6,475.00 | $14,307.00 | $19,962.00 |