| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $801.03 | $1,006.50 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,044.01 | $15,154.00 | |
CareSource
| Facility | $795.60 | $1,014.00 | $1,170.00 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |