| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.41 | $1,386.00 | $7,954.00 | |
Anthem BCBS
| Facility | $4,800.00 | $48,259.71 | $70,653.03 | |
CareSource
| Facility | $839.23 | $1,105.80 | $1,658.70 | |
United
| Facility | $6,161.00 | $13,735.00 | $19,477.00 |