| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $697.37 | $2,680.39 | $5,634.00 | |
Anthem BCBS
| Facility | $1,042.00 | $5,230.00 | $8,240.00 | |
CareSource
| Facility | $697.16 | $906.31 | $1,045.74 | |
United
| Facility | $2,148.00 | $6,094.00 | $12,090.00 |