| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.89 | $3,000.00 | $11,093.00 | |
Anthem BCBS
| Facility | $2,140.00 | $5,948.00 | $10,303.00 | |
CareSource
| Facility | $91.61 | $119.09 | $137.41 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |