| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.51 | $890.62 | $4,846.00 | |
Anthem BCBS
| Facility | $1,521.00 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $686.23 | $874.60 | $1,009.16 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |