| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $12,589.25 | $29,512.09 | $39,810.72 | |
CareSource
| Facility | $1,819.70 | $1,995.26 | $2,290.87 | |
United
| Facility | $1,412.54 | $5,623.41 | $12,022.64 |