| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.81 | $824.00 | $5,634.00 | |
Anthem BCBS
| Facility | $249.13 | $249.13 | $480.82 | |
CareSource
| Facility | $245.16 | $323.04 | $519.16 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |