| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $854.10 | $1,854.00 | $16,042.00 | |
Anthem BCBS
| Facility | $1,935.00 | $11,097.00 | $30,091.00 | |
CareSource
| Facility | $884.11 | $1,248.15 | $1,872.23 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |