| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $985.96 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $10,389.62 | $15,154.00 | |
CareSource
| Facility | $964.24 | $1,253.51 | $1,446.36 | |
United
| Facility | $2,062.00 | $5,167.00 | $10,396.00 |