| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $807.19 | $1,975.69 | $7,212.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,044.01 | $15,154.00 | |
CareSource
| Facility | $767.53 | $978.22 | $1,128.72 | |
United
| Facility | $715.30 | $3,739.00 | $6,436.00 |