| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,173.96 | $3,017.08 | $17,225.00 | |
Anthem BCBS
| Facility | $4,427.00 | $11,294.00 | $22,813.00 | |
CareSource
| Facility | $1,131.33 | $1,514.57 | $2,290.94 | |
United
| Facility | $2,721.00 | $9,550.00 | $15,750.00 |