| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $924.02 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $4,600.00 | $10,389.62 | $15,154.00 | |
CareSource
| Facility | $917.81 | $1,169.75 | $1,349.72 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |