| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $978.06 | $1,514.44 | $16,042.00 | |
Anthem BCBS
| Facility | $1,429.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $914.04 | $1,164.96 | $1,344.18 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |