| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.81 | $4,148.16 | $9,160.94 | |
Anthem BCBS
| Facility | $130.32 | $130.32 | $251.52 | |
CareSource
| Facility | $135.49 | $172.68 | $234.09 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |