| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $2,344.23 | $4,897.79 | |
Anthem BCBS
| Facility | $6,456.54 | $14,454.40 | $19,498.45 | |
CareSource
| Facility | $234.42 | $263.03 | $281.84 | |
United
| Facility | $9,120.11 | $15,848.93 | $23,442.29 |