| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,039.38 | $5,135.00 | $11,581.00 | |
Anthem BCBS
| Facility | $1,760.00 | $4,421.00 | $14,996.00 | |
CareSource
| Facility | $641.75 | $700.09 | $1,019.44 | |
United
| Facility | $3,206.00 | $6,231.00 | $10,075.00 |