| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.26 | $2,318.00 | $14,063.00 | |
Anthem BCBS
| Facility | $2,807.00 | $7,833.00 | $14,645.00 | |
CareSource
| Facility | $656.56 | $853.53 | $984.84 | |
United
| Facility | $4,472.00 | $10,113.00 | $15,750.00 |