| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $817.24 | $2,100.31 | $7,212.00 | |
Anthem BCBS
| Facility | $2,705.10 | $16,700.00 | $33,821.32 | |
CareSource
| Facility | $805.45 | $1,047.08 | $1,202.50 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |