| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.27 | $1,383.35 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $19,595.20 | $27,445.62 | |
CareSource
| Facility | $553.54 | $729.39 | $1,094.08 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |