| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $833.81 | $1,386.00 | $14,063.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,044.01 | $15,154.00 | |
CareSource
| Facility | $826.73 | $1,053.68 | $1,215.78 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |