| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.72 | $2,318.00 | $5,634.00 | |
Anthem BCBS
| Facility | $1,646.00 | $26,904.00 | $50,875.00 | |
CareSource
| Facility | $275.22 | $357.79 | $412.83 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |