| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $961.63 | $1,474.36 | $16,042.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $889.85 | $1,134.11 | $1,308.59 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |