| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $826.56 | $2,318.00 | $8,428.67 | |
Anthem BCBS
| Facility | $1,646.00 | $26,904.00 | $50,875.00 | |
CareSource
| Facility | $685.44 | $873.60 | $1,008.00 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |