| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $973.62 | $2,383.06 | $12,680.19 | |
Anthem BCBS
| Facility | $6,085.00 | $16,165.29 | $28,794.00 | |
CareSource
| Facility | $911.22 | $1,161.35 | $1,340.03 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |