| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.20 | $268.37 | $4,846.00 | |
Anthem BCBS
| Facility | $970.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $209.14 | $266.55 | $307.56 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |