| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.06 | $4,297.84 | $5,634.00 | |
Anthem BCBS
| Facility | $1,005.10 | $1,939.84 | $40,802.00 | |
CareSource
| Facility | $653.64 | $817.05 | $980.46 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |