| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $3,467.37 | $4,897.79 | |
Anthem BCBS
| Facility | $12,589.25 | $29,512.09 | $39,810.72 | |
CareSource
| Facility | $1,737.80 | $1,905.46 | $2,137.96 | |
United
| Facility | $6,165.95 | $12,882.50 | $20,417.38 |