| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $963.66 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $6,085.00 | $18,927.70 | $28,794.00 | |
CareSource
| Facility | $965.13 | $1,230.07 | $1,419.32 | |
United
| Facility | $1,403.00 | $5,660.00 | $11,929.00 |