| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.08 | $2,161.58 | $14,063.00 | |
Anthem BCBS
| Facility | $2,705.10 | $16,700.00 | $33,821.32 | |
CareSource
| Facility | $836.79 | $1,148.53 | $1,722.80 | |
United
| Facility | $4,126.00 | $7,672.00 | $11,284.00 |