| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $3,801.89 | $5,623.41 | |
Anthem BCBS
| Facility | $2,454.71 | $4,466.84 | $8,709.64 | |
CareSource
| Facility | $660.69 | $724.44 | $831.76 | |
United
| Facility | $2,454.71 | $3,890.45 | $6,456.54 |