| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.85 | $2,127.57 | $7,212.00 | |
Anthem BCBS
| Facility | $2,705.10 | $16,700.00 | $33,821.32 | |
CareSource
| Facility | $814.11 | $1,117.41 | $1,676.12 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |