| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.04 | $651.50 | $4,846.00 | |
Anthem BCBS
| Facility | $1,521.00 | $17,625.00 | $37,128.00 | |
CareSource
| Facility | $520.00 | $662.74 | $764.70 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |