| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $4,897.79 | $9,549.93 | |
Anthem BCBS
| Facility | $4,265.80 | $8,317.64 | $11,220.18 | |
CareSource
| Facility | $117.49 | $131.83 | $138.04 | |
United
| Facility | $1,412.54 | $5,754.40 | $12,022.64 |