| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $964.67 | $1,494.00 | $10,985.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,044.01 | $15,154.00 | |
CareSource
| Facility | $1,000.79 | $1,412.88 | $2,119.32 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |