| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $986.85 | $9,550.00 | $27,321.17 | |
Anthem BCBS
| Facility | $3,650.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $857.21 | $1,092.52 | $1,260.59 | |
United
| Facility | $10,376.00 | $15,721.00 | $25,940.00 |