| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $544.61 | $4,846.00 | $16,042.00 | |
Anthem BCBS
| Facility | $5,091.00 | $15,450.00 | $23,392.06 | |
CareSource
| Facility | $510.01 | $650.01 | $750.02 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |