| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.11 | $1,386.00 | $11,093.00 | |
Anthem BCBS
| Facility | $1,935.00 | $12,775.00 | $30,091.00 | |
CareSource
| Facility | $408.02 | $520.03 | $600.03 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |