| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $4,897.79 | $14,125.38 | |
Anthem BCBS
| Facility | $6,456.54 | $14,791.08 | $19,498.45 | |
CareSource
| Facility | $794.33 | $870.96 | $933.25 | |
United
| Facility | $3,019.95 | $7,762.47 | $10,964.78 |