| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,194.00 | $2,014.94 | $8,229.00 | |
Anthem BCBS
| Facility | $2,712.00 | $5,199.00 | $11,294.00 | |
CareSource
| Facility | $1,121.65 | $1,575.64 | $1,800.74 | |
United
| Facility | $842.00 | $4,539.00 | $10,113.00 |