| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $4,897.79 | $22,908.68 | |
Anthem BCBS
| Facility | $5,623.41 | $18,197.01 | $26,302.68 | |
CareSource
| Facility | $1,174.90 | $1,202.26 | $1,380.38 | |
United
| Facility | $4,466.84 | $9,549.93 | $16,218.10 |