| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.62 | $336.34 | $7,212.00 | |
Anthem BCBS
| Facility | $1,804.00 | $4,417.00 | $7,761.00 | |
CareSource
| Facility | $60.50 | $88.13 | $170.49 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |