| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $4,168.69 | $11,220.18 | |
Anthem BCBS
| Facility | $6,456.54 | $14,454.40 | $19,498.45 | |
CareSource
| Facility | $645.65 | $707.95 | $812.83 | |
United
| Facility | $2,691.53 | $6,025.60 | $10,715.19 |