| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $648.22 | $4,846.00 | $8,685.27 | |
Anthem BCBS
| Facility | $980.70 | $25,768.00 | $40,604.00 | |
CareSource
| Facility | $626.14 | $782.68 | $939.21 | |
United
| Facility | $5,431.00 | $12,393.00 | $17,416.00 |