| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.39 | $674.34 | $4,846.00 | |
Anthem BCBS
| Facility | $3,027.84 | $5,423.37 | $7,747.00 | |
CareSource
| Facility | $252.84 | $328.69 | $379.26 | |
United
| Facility | $2,062.00 | $5,167.00 | $10,396.00 |