| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.66 | $860.96 | $4,846.00 | |
Anthem BCBS
| Facility | $1,805.00 | $9,888.00 | $26,304.00 | |
CareSource
| Facility | $663.96 | $846.22 | $976.41 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |