| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.32 | $674.16 | $4,846.00 | |
Anthem BCBS
| Facility | $317.50 | $317.50 | $612.78 | |
CareSource
| Facility | $262.64 | $334.74 | $386.24 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |