| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.46 | $399.56 | $4,846.00 | |
Anthem BCBS
| Facility | $5,048.00 | $26,904.00 | $43,260.00 | |
CareSource
| Facility | $311.36 | $396.83 | $457.88 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |