| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.15 | $201.15 | $309.64 | |
Anthem BCBS
| Facility | $856.00 | $4,320.00 | $8,230.00 | |
CareSource
| Facility | $186.88 | $238.19 | $274.83 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |