| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.63 | $4,846.00 | $12,939.65 | |
Anthem BCBS
| Facility | $493.00 | $17,341.00 | $101,862.00 | |
CareSource
| Facility | $223.53 | $325.58 | $375.68 | |
United
| Facility | $983.00 | $3,019.00 | $18,720.00 |