| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $881.45 | $2,318.00 | $16,042.00 | |
Anthem BCBS
| Facility | $3,581.00 | $18,746.79 | $27,445.62 | |
CareSource
| Facility | $866.14 | $1,125.98 | $1,299.21 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |