| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.19 | $497.76 | $11,093.00 | |
Anthem BCBS
| Facility | $2,140.00 | $5,948.00 | $10,303.00 | |
CareSource
| Facility | $103.82 | $151.22 | $251.86 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |