| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $958.75 | $1,386.00 | $16,042.00 | |
Anthem BCBS
| Facility | $1,429.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $828.19 | $1,091.26 | $1,749.60 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |