| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.02 | $1,473.09 | $16,042.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $889.08 | $1,133.15 | $1,307.48 | |
United
| Facility | $2,716.00 | $5,379.00 | $10,413.00 |