| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,005.76 | $1,005.76 | $1,658.06 | |
Anthem BCBS
| Facility | $996.03 | $5,790.87 | $8,700.00 | |
CareSource
| Facility | $981.10 | $1,275.43 | $1,471.65 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |