| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $5,888.44 | $18,620.87 | |
Anthem BCBS
| Facility | $4,570.88 | $18,197.01 | $26,302.68 | |
CareSource
| Facility | $588.84 | $616.60 | $691.83 | |
United
| Facility | $4,073.80 | $7,762.47 | $10,964.78 |