| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.71 | $1,391.00 | $14,063.00 | |
Anthem BCBS
| Facility | $5,778.00 | $11,532.55 | $30,900.00 | |
CareSource
| Facility | $494.90 | $679.28 | $1,018.92 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |