| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $1,200.57 | $8,229.00 | |
Anthem BCBS
| Facility | $5,830.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $1,161.27 | $1,580.38 | $1,823.07 | |
United
| Facility | $599.00 | $4,298.00 | $30,001.00 |