| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.51 | $1,900.31 | $3,587.68 | |
Anthem BCBS
| Facility | $1,854.00 | $9,200.00 | $18,942.00 | |
CareSource
| Facility | $2,122.89 | $2,759.76 | $3,184.34 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |