| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.14 | $4,846.00 | $6,587.45 | |
Anthem BCBS
| Facility | $7,446.00 | $18,927.70 | $25,750.00 | |
CareSource
| Facility | $719.93 | $917.55 | $1,058.72 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |