| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $601.16 | $1,189.78 | $8,229.00 | |
Anthem BCBS
| Facility | $2,088.00 | $3,967.00 | $8,800.00 | |
CareSource
| Facility | $651.45 | $934.68 | $1,078.23 | |
United
| Facility | $842.00 | $4,539.00 | $10,113.00 |