| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,185.29 | $8,547.34 | $11,735.00 | |
Anthem BCBS
| Facility | $2,084.00 | $4,437.00 | $19,117.00 | |
CareSource
| Facility | $1,487.02 | $1,823.03 | $2,631.55 | |
United
| Facility | $2,973.63 | $5,605.00 | $9,483.00 |