| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.86 | $956.01 | $7,212.00 | |
Anthem BCBS
| Facility | $3,278.00 | $5,275.16 | $8,063.00 | |
CareSource
| Facility | $379.96 | $500.65 | $789.57 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |