| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.11 | $6,014.92 | $19,071.00 | |
Anthem BCBS
| Facility | $1,521.00 | $15,205.00 | $25,750.00 | |
CareSource
| Facility | $340.43 | $433.88 | $6,947.61 | |
United
| Facility | $6,526.00 | $14,061.00 | $19,962.00 |