| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $650.52 | $3,510.00 | $17,225.00 | |
Anthem BCBS
| Facility | $4,800.00 | $14,396.00 | $20,784.00 | |
CareSource
| Facility | $642.38 | $818.71 | $944.67 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |