| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $673.93 | $1,732.00 | $5,634.00 | |
Anthem BCBS
| Facility | $2,264.00 | $4,985.00 | $6,779.71 | |
CareSource
| Facility | $671.65 | $921.87 | $1,382.81 | |
United
| Facility | $2,400.00 | $3,874.00 | $5,490.00 |