| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.60 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $7,446.00 | $18,496.73 | $25,750.00 | |
CareSource
| Facility | $219.66 | $279.95 | $323.02 | |
United
| Facility | $1,917.00 | $5,660.00 | $12,027.00 |