| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.85 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $315.68 | $609.26 | $40,802.00 | |
CareSource
| Facility | $288.76 | $375.39 | $433.14 | |
United
| Facility | $933.00 | $2,252.00 | $5,520.00 |