| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $566.29 | $3,500.00 | $16,042.00 | |
Anthem BCBS
| Facility | $4,800.00 | $19,595.20 | $27,445.62 | |
CareSource
| Facility | $562.01 | $771.39 | $1,157.08 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |