| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.48 | $366.96 | $4,846.00 | |
Anthem BCBS
| Facility | $410.00 | $410.00 | $791.30 | |
CareSource
| Facility | $276.54 | $352.46 | $411.06 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |