| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $3,467.37 | $11,481.54 | |
Anthem BCBS
| Facility | $251.19 | $251.19 | $478.63 | |
CareSource
| Facility | $144.54 | $162.18 | $181.97 | |
United
| Facility | $3,890.45 | $8,317.64 | $10,964.78 |