| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.98 | $271.98 | $4,846.00 | |
Anthem BCBS
| Facility | $1,603.32 | $2,318.00 | $16,615.00 | |
CareSource
| Facility | $203.98 | $259.97 | $303.30 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |