| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.97 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $1,935.00 | $12,775.00 | $30,091.00 | |
CareSource
| Facility | $716.48 | $913.16 | $1,053.65 | |
United
| Facility | $1,403.00 | $5,660.00 | $11,929.00 |