| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $3,467.37 | $7,413.10 | |
Anthem BCBS
| Facility | $537.03 | $1,047.13 | $42,657.95 | |
CareSource
| Facility | $436.52 | $489.78 | $549.54 | |
United
| Facility | $933.25 | $2,238.72 | $7,413.10 |