| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $1,380.38 | $5,623.41 | |
Anthem BCBS
| Facility | $4,265.80 | $8,709.64 | $11,220.18 | |
CareSource
| Facility | $57.54 | $61.66 | $67.61 | |
United
| Facility | $1,288.25 | $2,818.38 | $4,265.80 |