| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $749.90 | $1,927.24 | $14,063.00 | |
Anthem BCBS
| Facility | $4,800.00 | $35,162.29 | $52,403.00 | |
CareSource
| Facility | $732.80 | $952.64 | $1,099.20 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |