| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $801.05 | $901.05 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $747.21 | $952.33 | $1,098.83 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |