| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.53 | $2,318.00 | $14,063.00 | |
Anthem BCBS
| Facility | $4,800.00 | $19,595.20 | $27,445.62 | |
CareSource
| Facility | $950.70 | $1,252.69 | $1,879.04 | |
United
| Facility | $4,472.00 | $10,113.00 | $15,750.00 |