| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $743.68 | $2,318.00 | $37,864.39 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $699.03 | $890.92 | $1,027.98 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |