| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $704.00 | $2,318.00 | $14,063.00 | |
Anthem BCBS
| Facility | $2,807.00 | $7,833.00 | $14,645.00 | |
CareSource
| Facility | $700.75 | $961.81 | $1,442.72 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |