| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $999.14 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $19,373.31 | $27,129.09 | |
CareSource
| Facility | $990.53 | $1,262.44 | $1,456.67 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |