| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.65 | $4,846.00 | $24,064.99 | |
Anthem BCBS
| Facility | $1,429.00 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $964.01 | $1,228.64 | $1,417.67 | |
United
| Facility | $4,218.00 | $10,069.00 | $18,302.00 |