| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $935.72 | $2,318.00 | $7,212.00 | |
Anthem BCBS
| Facility | $3,581.00 | $18,746.79 | $27,445.62 | |
CareSource
| Facility | $906.23 | $1,178.09 | $1,359.35 | |
United
| Facility | $4,472.00 | $10,113.00 | $15,750.00 |