| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.31 | $2,318.00 | $14,063.00 | |
Anthem BCBS
| Facility | $1,497.50 | $10,338.00 | $26,304.00 | |
CareSource
| Facility | $948.90 | $1,209.38 | $1,395.44 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |