| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.63 | $1,872.30 | $6,288.72 | |
Anthem BCBS
| Facility | $2,318.00 | $6,474.00 | $13,758.00 | |
CareSource
| Facility | $654.04 | $850.25 | $981.06 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |