| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $869.53 | $2,318.00 | $16,042.00 | |
Anthem BCBS
| Facility | $3,581.00 | $18,746.79 | $27,445.62 | |
CareSource
| Facility | $849.12 | $1,103.85 | $1,273.68 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |