| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.14 | $863.70 | $17,225.00 | |
Anthem BCBS
| Facility | $4,513.00 | $11,058.00 | $19,482.00 | |
CareSource
| Facility | $229.12 | $292.02 | $336.95 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |