| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $4,897.79 | $11,220.18 | |
Anthem BCBS
| Facility | $208.93 | $208.93 | $407.38 | |
CareSource
| Facility | $117.49 | $128.82 | $147.91 | |
United
| Facility | $933.25 | $2,238.72 | $7,413.10 |