| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.65 | $1,386.00 | $7,212.00 | |
Anthem BCBS
| Facility | $1,665.00 | $9,863.00 | $26,304.00 | |
CareSource
| Facility | $685.99 | $874.30 | $1,008.81 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |