| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.00 | $639.12 | $4,846.00 | |
Anthem BCBS
| Facility | $1,614.00 | $9,200.00 | $18,942.00 | |
CareSource
| Facility | $495.90 | $632.03 | $729.27 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |