| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.99 | $3,500.00 | $6,541.04 | |
Anthem BCBS
| Facility | $504.60 | $973.88 | $48,807.00 | |
CareSource
| Facility | $281.19 | $365.55 | $421.79 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |