| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.99 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $638.00 | $972.31 | $30,900.00 | |
CareSource
| Facility | $312.95 | $406.85 | $469.44 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |