| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.01 | $1,371.74 | $11,093.00 | |
Anthem BCBS
| Facility | $1,429.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $545.95 | $719.36 | $1,150.36 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |