| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $4,897.79 | $12,882.50 | |
Anthem BCBS
| Facility | $3,715.35 | $13,803.84 | $19,054.61 | |
CareSource
| Facility | $331.13 | $346.74 | $389.05 | |
United
| Facility | $2,951.21 | $7,762.47 | $10,964.78 |