| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.50 | $275.77 | $4,846.00 | |
Anthem BCBS
| Facility | $970.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $214.36 | $273.20 | $315.24 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |