| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $913.28 | $1,854.00 | $16,042.00 | |
Anthem BCBS
| Facility | $1,646.00 | $24,214.00 | $45,778.00 | |
CareSource
| Facility | $852.72 | $1,086.80 | $1,254.00 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |