| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.79 | $2,021.31 | $5,634.00 | |
Anthem BCBS
| Facility | $531.40 | $531.40 | $1,025.59 | |
CareSource
| Facility | $296.68 | $378.12 | $2,077.71 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |