| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $915.84 | $1,898.15 | $11,093.00 | |
Anthem BCBS
| Facility | $4,800.00 | $10,300.00 | $15,154.00 | |
CareSource
| Facility | $760.50 | $1,002.06 | $1,591.92 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |