| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.32 | $3,029.79 | $5,634.00 | |
Anthem BCBS
| Facility | $249.50 | $249.50 | $481.54 | |
CareSource
| Facility | $145.44 | $189.07 | $218.16 | |
United
| Facility | $3,932.00 | $8,348.00 | $12,569.00 |