| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,887.57 | $2,212.75 | $4,846.00 | |
Anthem BCBS
| Facility | $5,778.00 | $23,175.52 | $32,252.00 | |
CareSource
| Facility | $1,833.08 | $2,383.00 | $2,749.62 | |
United
| Facility | $2,062.00 | $5,167.00 | $10,396.00 |