| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $3,801.89 | $5,623.41 | |
Anthem BCBS
| Facility | $2,454.71 | $4,466.84 | $8,709.64 | |
CareSource
| Facility | $891.25 | $977.24 | $1,096.48 | |
United
| Facility | $933.25 | $2,238.72 | $5,754.40 |