| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $959.74 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $7,446.00 | $18,927.70 | $25,750.00 | |
CareSource
| Facility | $909.18 | $1,158.76 | $1,337.03 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |