| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.23 | $4,846.00 | $5,634.00 | |
Anthem BCBS
| Facility | $572.69 | $1,105.29 | $71,904.00 | |
CareSource
| Facility | $418.13 | $543.57 | $627.20 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |