| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.59 | $371.02 | $7,212.00 | |
Anthem BCBS
| Facility | $856.00 | $4,320.00 | $8,230.00 | |
CareSource
| Facility | $68.79 | $87.67 | $308.80 | |
United
| Facility | $1,638.00 | $2,854.00 | $4,271.00 |