| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.22 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $651.66 | $972.31 | $13,810.27 | |
CareSource
| Facility | $242.47 | $315.20 | $363.71 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |