| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.38 | $265.38 | $433.35 | |
Anthem BCBS
| Facility | $2,020.00 | $8,240.00 | $37,157.00 | |
CareSource
| Facility | $261.55 | $333.35 | $384.63 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 |