| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $558.78 | $1,628.00 | $17,225.00 | |
Anthem BCBS
| Facility | $2,575.00 | $29,226.00 | $47,221.00 | |
CareSource
| Facility | $553.40 | $705.32 | $813.83 | |
United
| Facility | $8,850.00 | $15,793.00 | $23,366.00 |