| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.82 | $2,390.39 | $14,063.00 | |
Anthem BCBS
| Facility | $2,807.00 | $7,821.00 | $12,915.00 | |
CareSource
| Facility | $239.97 | $311.95 | $359.96 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |