| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $728.25 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $12,181.52 | $16,615.00 | |
CareSource
| Facility | $725.97 | $925.26 | $1,067.60 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |