| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.29 | $1,386.00 | $11,093.00 | |
Anthem BCBS
| Facility | $970.00 | $5,790.87 | $8,700.00 | |
CareSource
| Facility | $205.90 | $262.42 | $302.79 | |
United
| Facility | $963.00 | $3,267.00 | $5,073.00 |