| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $528.30 | $1,293.09 | $11,093.00 | |
Anthem BCBS
| Facility | $970.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $495.28 | $631.24 | $728.36 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |