| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $877.29 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $10,389.62 | $15,154.00 | |
CareSource
| Facility | $886.37 | $1,129.69 | $1,303.49 | |
United
| Facility | $1,987.00 | $5,735.00 | $10,926.00 |