| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.03 | $2,777.00 | $19,071.00 | |
Anthem BCBS
| Facility | $3,497.00 | $9,989.00 | $13,799.00 | |
CareSource
| Facility | $83.55 | $110.58 | $122.87 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |