| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.86 | $1,093.49 | $7,212.00 | |
Anthem BCBS
| Facility | $970.00 | $5,230.00 | $8,240.00 | |
CareSource
| Facility | $137.66 | $186.54 | $289.08 | |
United
| Facility | $1,638.00 | $2,854.00 | $4,271.00 |