| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $855.87 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $1,614.00 | $9,200.00 | $18,942.00 | |
CareSource
| Facility | $687.48 | $909.90 | $1,011.00 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |