| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,066.00 | $2,739.62 | $17,225.00 | |
Anthem BCBS
| Facility | $4,427.00 | $11,294.00 | $22,813.00 | |
CareSource
| Facility | $1,028.35 | $1,376.72 | $2,082.44 | |
United
| Facility | $2,998.00 | $9,550.00 | $15,750.00 |