| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.26 | $194.24 | $4,846.00 | |
Anthem BCBS
| Facility | $528.48 | $763.40 | $5,221.00 | |
CareSource
| Facility | $64.83 | $94.43 | $101.70 | |
United
| Facility | $715.30 | $3,739.00 | $6,436.00 |