| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $694.45 | $6,243.89 | $16,042.00 | |
Anthem BCBS
| Facility | $2,174.00 | $11,249.00 | $30,091.00 | |
CareSource
| Facility | $690.80 | $880.43 | $1,015.88 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |