| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,676.67 | $8,562.00 | $12,313.00 | |
Anthem BCBS
| Facility | $2,084.00 | $4,437.00 | $19,117.00 | |
CareSource
| Facility | $1,354.25 | $1,660.26 | $3,302.55 | |
United
| Facility | $2,912.00 | $6,231.00 | $10,075.00 |