| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $979.67 | $2,318.00 | $11,093.00 | |
Anthem BCBS
| Facility | $1,521.00 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $982.60 | $1,339.91 | $2,009.87 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |