| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.70 | $1,386.00 | $16,042.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $426.68 | $543.79 | $627.47 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |