| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.75 | $1,339.15 | $4,846.00 | |
Anthem BCBS
| Facility | $1,036.08 | $1,512.87 | $5,221.00 | |
CareSource
| Facility | $448.43 | $653.16 | $703.42 | |
United
| Facility | $1,403.00 | $5,660.00 | $11,929.00 |