| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.55 | $296.16 | $4,846.00 | |
Anthem BCBS
| Facility | $3,278.00 | $5,484.93 | $8,240.00 | |
CareSource
| Facility | $186.19 | $245.34 | $394.29 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |