| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.07 | $824.00 | $5,634.00 | |
Anthem BCBS
| Facility | $7,446.00 | $19,160.43 | $26,986.76 | |
CareSource
| Facility | $256.31 | $326.66 | $381.19 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |