| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,169.83 | $3,006.49 | $17,225.00 | |
Anthem BCBS
| Facility | $4,427.00 | $11,294.00 | $22,813.00 | |
CareSource
| Facility | $1,128.26 | $1,510.46 | $2,284.73 | |
United
| Facility | $3,371.42 | $8,736.00 | $15,660.00 |