| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.64 | $634.25 | $4,846.00 | |
Anthem BCBS
| Facility | $1,036.08 | $1,512.87 | $5,221.00 | |
CareSource
| Facility | $211.61 | $308.23 | $331.94 | |
United
| Facility | $3,932.00 | $8,025.00 | $11,038.00 |