| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $994.56 | $4,846.00 | $19,598.88 | |
Anthem BCBS
| Facility | $6,085.00 | $16,165.29 | $28,794.00 | |
CareSource
| Facility | $918.26 | $1,193.74 | $1,377.39 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |