| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.69 | $1,386.00 | $14,063.00 | |
Anthem BCBS
| Facility | $1,646.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $638.32 | $813.54 | $938.70 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |