| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $938.22 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $7,446.00 | $21,000.00 | $27,626.35 | |
CareSource
| Facility | $1,118.39 | $1,525.08 | $2,287.62 | |
United
| Facility | $1,422.13 | $5,660.00 | $11,929.00 |