| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,135.58 | $3,500.00 | $9,550.00 | |
Anthem BCBS
| Facility | $3,650.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $984.26 | $1,254.45 | $1,447.44 | |
United
| Facility | $9,619.00 | $16,546.00 | $34,320.00 |