| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $623.61 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $1,036.08 | $1,529.90 | $5,221.00 | |
CareSource
| Facility | $602.16 | $877.10 | $944.57 | |
United
| Facility | $1,403.00 | $5,660.00 | $11,929.00 |