| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $872.10 | $2,241.30 | $14,063.00 | |
Anthem BCBS
| Facility | $4,800.00 | $10,389.62 | $15,154.00 | |
CareSource
| Facility | $901.86 | $1,188.33 | $1,782.50 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |